| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.33 | $50.03 | $494.84 | |
Aetna
| Professional | $10.08 | $12.60 | $26.40 | |
Anthem BCBS
| Facility | $6.43 | $11.34 | $13.24 | |
Anthem BCBS
| Professional | $5.46 | $6.43 | $8.83 | |
CareSource
| Facility | $11.61 | $14.13 | $20.16 | |
CareSource
| Professional | $12.60 | $15.12 | $25.20 | |
Cigna
| Facility | $8.19 | $9.61 | $18.80 | |
Cigna
| Professional | $5.78 | $14.96 | $60.73 | |
Molina
| Professional | $6.93 | $6.93 | $6.93 | |
United
| Professional | $5.29 | $8.98 | $14.96 |