| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.62 | $18.62 | $18.62 |
Aetna
| Professional | 26 | $5.01 | $26.30 | $131.83 |
Aetna
| Professional | TC | $16.98 | $22.91 | $204.17 |
BCBS
| Professional | 26 | $20.42 | $24.55 | $36.31 |
BCBS
| Professional | TC | $64.57 | $69.18 | $91.20 |
Cigna
| Professional | 26 | $25.70 | $38.02 | $53.70 |
Cigna
| Professional | TC | $89.13 | $123.03 | $177.83 |
United
| Professional | 26 | $24.55 | $29.51 | $54.95 |
United
| Professional | TC | $77.62 | $95.50 | $177.83 |