| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $6.83 | $6.83 | $6.83 |
Aetna
| Professional | 26 | $5.45 | $7.51 | $52.27 |
Aetna
| Professional | TC | $18.84 | $20.95 | $77.48 |
Cigna
| Facility | 26 | $28.15 | $28.15 | $28.15 |
Cigna
| Professional | 26 | $22.70 | $34.29 | $86.82 |
Cigna
| Professional | TC | $71.59 | $100.99 | $260.13 |
United
| Professional | 26 | $21.32 | $32.17 | $36.77 |
United
| Professional | TC | $67.37 | $102.66 | $102.66 |