| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.11 | $93.33 | $239.88 |
Aetna
| Professional | $213.80 | $316.23 | $812.83 | |
Aetna
| Professional | 26 | $77.62 | $97.72 | $251.19 |
Aetna
| Professional | TC | $144.54 | $173.78 | $363.08 |
Cigna
| Professional | $223.87 | $316.23 | $501.19 | |
Cigna
| Professional | 26 | $79.43 | $112.20 | $181.97 |
Cigna
| Professional | TC | $144.54 | $186.21 | $331.13 |
Highmark BCBS
| Professional | 26 | $77.62 | $77.62 | $77.62 |
United
| Professional | $208.93 | $281.84 | $512.86 | |
United
| Professional | 26 | $72.44 | $100.00 | $181.97 |
United
| Professional | TC | $131.83 | $177.83 | $331.13 |