| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.69 | $94.39 | $242.58 |
Aetna
| Professional | $252.36 | $272.48 | $724.19 | |
Aetna
| Professional | 26 | $87.27 | $97.12 | $242.61 |
Aetna
| Professional | TC | $165.09 | $172.59 | $200.74 |
Cigna
| Professional | $221.60 | $313.95 | $462.09 | |
Cigna
| Professional | 26 | $78.84 | $109.61 | $150.46 |
Cigna
| Professional | TC | $143.91 | $180.54 | $307.02 |
Highmark BCBS
| Professional | 26 | $75.31 | $75.31 | $77.43 |
United
| Professional | $203.38 | $296.58 | $535.39 | |
United
| Professional | 26 | $74.23 | $107.17 | $194.11 |
United
| Professional | TC | $129.90 | $185.97 | $341.28 |