| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.47 | $22.47 | $22.47 | |
Aetna
| Professional | $15.60 | $29.62 | $33.29 | |
Anthem BCBS
| Professional | $12.91 | $25.32 | $39.32 | |
CareSource
| Facility | $28.61 | $34.67 | $769.79 | |
CareSource
| Professional | $33.79 | $36.40 | $36.40 | |
Cigna
| Professional | $23.25 | $39.32 | $39.32 | |
United
| Professional | $19.82 | $68.11 | $110.58 |