| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.12 | $18.39 | $59.04 | |
Aetna
| Professional | $12.09 | $13.12 | $15.20 | |
Anthem BCBS
| Facility | $12.64 | $14.40 | $48.00 | |
Anthem BCBS
| Professional | $5.67 | $6.40 | $11.04 | |
CareSource
| Facility | $16.00 | $19.20 | $21.60 | |
CareSource
| Professional | $16.00 | $18.39 | $22.68 | |
Cigna
| Facility | $10.40 | $16.00 | $36.90 | |
Cigna
| Professional | $7.89 | $18.17 | $29.33 | |
United
| Professional | $6.72 | $9.60 | $14.40 |