| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.59 | $19.95 | $44.67 | |
Aetna
| Professional | $8.91 | $10.00 | $14.45 | |
Anthem BCBS
| Facility | $12.59 | $12.59 | $38.02 | |
Anthem BCBS
| Professional | $5.62 | $7.08 | $12.59 | |
CareSource
| Facility | $9.55 | $9.55 | $15.85 | |
Cigna
| Facility | $9.33 | $16.22 | $30.20 | |
Cigna
| Professional | $6.17 | $8.51 | $25.70 | |
United
| Facility | $5.75 | $12.59 | $12.59 | |
United
| Professional | $5.37 | $7.94 | $13.80 |