| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.16 | $25.93 | $107.74 | |
Aetna
| Professional | $7.23 | $8.68 | $10.33 | |
Anthem BCBS
| Facility | $6.43 | $9.30 | $10.86 | |
Anthem BCBS
| Professional | $5.09 | $12.79 | $12.79 | |
CareSource
| Facility | $10.33 | $14.46 | $17.04 | |
CareSource
| Professional | $11.05 | $13.43 | $20.66 | |
Cigna
| Facility | $6.71 | $8.03 | $22.16 | |
Cigna
| Professional | $5.28 | $11.62 | $58.75 | |
Molina
| Professional | $5.68 | $5.68 | $5.68 | |
United
| Professional | $4.34 | $8.66 | $14.43 |