| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.26 | $28.36 | $323.93 | |
Aetna
| Professional | $16.23 | $19.57 | $21.96 | |
Anthem BCBS
| Facility | $13.67 | $19.76 | $23.08 | |
Anthem BCBS
| Professional | $10.85 | $15.39 | $22.80 | |
CareSource
| Facility | $21.96 | $30.74 | $36.22 | |
CareSource
| Professional | $23.50 | $28.55 | $43.92 | |
Cigna
| Facility | $14.27 | $17.09 | $39.83 | |
Cigna
| Professional | $11.23 | $24.70 | $141.38 | |
Molina
| Professional | $12.08 | $12.08 | $12.08 | |
United
| Professional | $8.77 | $17.05 | $30.68 |