| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.47 | $19.29 | $119.35 | |
Aetna
| Professional | $3.38 | $4.23 | $5.96 | |
Anthem BCBS
| Facility | $2.63 | $3.81 | $4.45 | |
Anthem BCBS
| Professional | $1.63 | $2.00 | $3.41 | |
CareSource
| Facility | $4.23 | $5.08 | $5.92 | |
CareSource
| Professional | $4.23 | $5.12 | $8.46 | |
Cigna
| Facility | $2.75 | $3.23 | $50.00 | |
Cigna
| Professional | $1.98 | $4.96 | $20.39 | |
Molina
| Professional | $2.33 | $2.33 | $2.33 | |
United
| Professional | $1.90 | $4.23 | $4.75 |