| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.03 | $45.35 | $214.28 | |
Aetna
| Professional | $15.71 | $19.27 | $34.82 | |
Anthem BCBS
| Facility | $8.50 | $21.68 | $25.32 | |
Anthem BCBS
| Professional | $8.31 | $9.64 | $18.50 | |
CareSource
| Facility | $24.09 | $28.91 | $33.72 | |
CareSource
| Professional | $24.09 | $29.15 | $48.18 | |
Cigna
| Facility | $15.66 | $18.73 | $32.74 | |
Cigna
| Professional | $11.06 | $27.10 | $116.11 | |
Molina
| Professional | $13.25 | $13.25 | $13.25 | |
United
| Professional | $10.11 | $15.14 | $26.50 |