| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.94 | $4.94 | $4.94 | |
Aetna
| Professional | $4.94 | $6.35 | $29.13 | |
Anthem BCBS
| Professional | $30.70 | $36.11 | $85.71 | |
CareSource
| Facility | $5.24 | $20.21 | $72.83 | |
CareSource
| Professional | $5.00 | $5.71 | $20.21 | |
Cigna
| Professional | $19.00 | $25.00 | $154.00 | |
United
| Professional | $4.49 | $5.94 | $26.32 |