| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $28.84 | $50.12 | |
Aetna
| Professional | $14.13 | $15.85 | $21.88 | |
Anthem BCBS
| Facility | $17.38 | $20.89 | $21.88 | |
Anthem BCBS
| Professional | $9.33 | $15.85 | $26.30 | |
CareSource
| Facility | $20.89 | $25.12 | $29.51 | |
CareSource
| Professional | $20.89 | $26.30 | $41.69 | |
Cigna
| Facility | $13.49 | $50.12 | $50.12 | |
Cigna
| Professional | $11.22 | $100.00 | $100.00 | |
Molina
| Professional | $11.48 | $11.48 | $11.48 | |
United
| Professional | $8.71 | $15.85 | $26.30 |