| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | TC | $395.68 | $443.38 | $493.36 |
BCBS
| Professional | TC | $645.00 | $795.00 | $795.00 |
Cigna
| Professional | TC | $411.98 | $697.74 | $886.34 |
United
| Professional | TC | $465.26 | $685.79 | $1,320.00 |