| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $6.03 | $18.20 | $56.23 |
Aetna
| Professional | TC | $18.20 | $26.92 | $95.50 |
BCBS
| Professional | 26 | $34.67 | $43.65 | $43.65 |
Cigna
| Professional | 26 | $26.30 | $37.15 | $52.48 |
Cigna
| Professional | TC | $83.18 | $117.49 | $165.96 |
United
| Professional | 26 | $43.65 | $45.71 | $45.71 |
United
| Professional | TC | $138.04 | $147.91 | $147.91 |