| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.28 | $20.35 | $261.25 | |
Aetna
| Professional | $14.05 | $16.28 | $18.28 | |
BCBS
| Facility | $13.41 | $19.39 | $34.06 | |
BCBS
| Professional | $12.22 | $12.86 | $17.36 | |
CareSource
| Facility | $12.86 | $17.14 | $41.89 | |
CareSource
| Professional | $11.14 | $11.14 | $17.14 | |
Cigna
| Professional | $9.51 | $19.82 | $26.33 | |
Health Alliance Plan
| Facility | $14.65 | $20.88 | $250.24 | |
Health Alliance Plan
| Professional | $11.42 | $16.28 | $20.57 | |
Molina
| Professional | $12.78 | $14.20 | $19.17 | |
United
| Professional | $5.09 | $7.28 | $12.14 |