| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $28.18 | $147.91 | |
Aetna
| Professional | $15.85 | $19.05 | $25.70 | |
Anthem BCBS
| Facility | $18.62 | $21.88 | $22.91 | |
Anthem BCBS
| Professional | $10.96 | $15.49 | $30.20 | |
CareSource
| Facility | $21.88 | $26.30 | $30.90 | |
CareSource
| Professional | $21.88 | $27.54 | $43.65 | |
Cigna
| Facility | $14.13 | $39.81 | $39.81 | |
Cigna
| Professional | $13.18 | $144.54 | $144.54 | |
Molina
| Professional | $12.02 | $12.02 | $12.02 | |
United
| Professional | $9.12 | $18.62 | $30.90 |