| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.19 | $16.54 | $93.13 | |
Aetna
| Professional | $16.54 | $17.17 | $20.94 | |
Anthem BCBS
| Facility | $13.04 | $18.85 | $22.01 | |
Anthem BCBS
| Professional | $9.30 | $15.68 | $21.34 | |
CareSource
| Facility | $20.94 | $29.32 | $34.54 | |
CareSource
| Professional | $22.41 | $27.22 | $41.88 | |
Cigna
| Facility | $13.61 | $16.29 | $50.00 | |
Cigna
| Professional | $9.58 | $24.37 | $100.93 | |
Molina
| Professional | $11.52 | $11.52 | $11.52 | |
United
| Professional | $8.78 | $13.46 | $26.31 |