| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $25.12 | $56.23 | |
Aetna
| Professional | $10.00 | $12.88 | $18.20 | |
Anthem BCBS
| Facility | $15.85 | $15.85 | $47.86 | |
Anthem BCBS
| Professional | $5.62 | $6.46 | $12.59 | |
CareSource
| Facility | $12.02 | $12.02 | $19.95 | |
Cigna
| Facility | $10.47 | $15.85 | $30.20 | |
Cigna
| Professional | $11.48 | $26.92 | $28.84 | |
United
| Facility | $7.24 | $15.85 | $15.85 | |
United
| Professional | $6.76 | $9.55 | $15.85 |