| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.95 | $15.62 | $73.81 | |
Aetna
| Professional | $3.34 | $3.55 | $4.65 | |
Anthem BCBS
| Facility | $3.34 | $3.81 | $12.69 | |
Anthem BCBS
| Professional | $1.63 | $1.69 | $2.91 | |
CareSource
| Facility | $4.23 | $4.65 | $5.92 | |
CareSource
| Professional | $2.75 | $4.44 | $5.71 | |
Cigna
| Facility | $2.75 | $4.23 | $10.06 | |
Cigna
| Professional | $2.14 | $4.96 | $7.05 | |
United
| Professional | $2.18 | $4.23 | $4.75 |