| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.83 | $11.59 | $701.31 | |
Aetna
| Professional | $10.84 | $11.59 | $14.13 | |
Anthem BCBS
| Facility | $8.80 | $12.72 | $14.85 | |
Anthem BCBS
| Professional | $5.67 | $5.92 | $8.30 | |
CareSource
| Facility | $14.13 | $16.96 | $19.97 | |
CareSource
| Professional | $14.13 | $17.09 | $28.26 | |
Cigna
| Facility | $9.18 | $10.78 | $50.00 | |
Cigna
| Professional | $6.44 | $16.52 | $78.94 | |
Molina
| Professional | $7.77 | $7.77 | $7.77 | |
United
| Professional | $5.93 | $9.61 | $17.60 |