| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.88 | $14.50 | $81.68 | |
Aetna
| Professional | $14.50 | $15.06 | $18.36 | |
Anthem BCBS
| Facility | $11.43 | $16.52 | $19.30 | |
Anthem BCBS
| Professional | $7.57 | $7.57 | $18.60 | |
CareSource
| Facility | $18.36 | $25.70 | $30.29 | |
CareSource
| Professional | $19.64 | $23.87 | $36.72 | |
Cigna
| Facility | $11.93 | $14.29 | $42.08 | |
Cigna
| Professional | $8.42 | $21.06 | $104.67 | |
Molina
| Professional | $10.10 | $10.10 | $10.10 | |
United
| Professional | $7.71 | $13.76 | $22.94 |