| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.12 | $277.14 | $349.28 | |
Aetna
| Professional | 26 | $77.89 | $97.12 | $391.83 |
Aetna
| Professional | TC | $138.61 | $172.59 | $236.23 |
BCBS
| Professional | $339.00 | $417.00 | $417.00 | |
BCBS
| Professional | 26 | $118.00 | $145.00 | $145.00 |
BCBS
| Professional | TC | $221.00 | $272.00 | $272.00 |
Cigna
| Professional | $277.63 | $397.00 | $550.14 | |
Cigna
| Professional | 26 | $99.13 | $137.66 | $184.45 |
Cigna
| Professional | TC | $169.91 | $259.33 | $376.22 |
United
| Professional | $333.48 | $461.79 | $871.00 | |
United
| Professional | 26 | $129.32 | $168.57 | $343.22 |
United
| Professional | TC | $204.16 | $293.22 | $527.78 |