| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.82 | $18.69 | $111.74 | |
Aetna
| Professional | $9.46 | $10.06 | $11.38 | |
Anthem BCBS
| Facility | $9.46 | $11.43 | $35.94 | |
Anthem BCBS
| Professional | $5.92 | $5.92 | $9.61 | |
CareSource
| Facility | $11.98 | $14.38 | $16.17 | |
CareSource
| Professional | $11.98 | $13.78 | $16.98 | |
Cigna
| Facility | $8.77 | $11.98 | $31.03 | |
Cigna
| Professional | $7.89 | $13.63 | $23.46 | |
United
| Professional | $5.03 | $7.19 | $11.98 |