| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.41 | $13.42 | $46.11 | |
Aetna
| Professional | $11.10 | $13.42 | $28.44 | |
BCBS
| Facility | $11.07 | $15.99 | $28.08 | |
BCBS
| Professional | $10.07 | $10.60 | $14.31 | |
CareSource
| Facility | $10.60 | $14.13 | $34.53 | |
CareSource
| Professional | $9.18 | $9.18 | $14.13 | |
Cigna
| Professional | $7.54 | $16.52 | $20.65 | |
Health Alliance Plan
| Facility | $13.41 | $13.42 | $24.66 | |
Health Alliance Plan
| Professional | $11.10 | $15.97 | $19.78 | |
Molina
| Professional | $10.53 | $11.70 | $15.79 | |
United
| Professional | $5.93 | $9.03 | $10.40 |