| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $31.13 | $205.53 | |
Aetna
| Professional | $15.73 | $16.07 | $24.11 | |
Anthem BCBS
| Facility | $15.01 | $21.70 | $25.34 | |
Anthem BCBS
| Professional | $8.31 | $9.64 | $18.51 | |
CareSource
| Facility | $24.11 | $28.93 | $34.04 | |
CareSource
| Professional | $24.11 | $29.17 | $48.22 | |
Cigna
| Facility | $15.67 | $18.76 | $32.74 | |
Cigna
| Professional | $11.06 | $27.12 | $116.21 | |
Molina
| Professional | $13.26 | $13.26 | $13.26 | |
United
| Professional | $10.13 | $15.14 | $26.52 |