| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $5.20 | $6.66 | $24.62 |
Aetna
| Professional | TC | $17.48 | $22.56 | $76.38 |
Cigna
| Professional | 26 | $23.61 | $29.75 | $42.52 |
Cigna
| Professional | TC | $73.45 | $92.90 | $145.00 |
Highmark BCBS
| Professional | 26 | $192.91 | $192.91 | $192.91 |
United
| Professional | 26 | $17.38 | $29.07 | $68.50 |
United
| Professional | TC | $56.90 | $68.28 | $236.92 |