| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $14.45 | $25.12 | |
Aetna
| Professional | $7.08 | $7.94 | $10.47 | |
Anthem BCBS
| Facility | $8.71 | $10.47 | $10.96 | |
Anthem BCBS
| Professional | $4.79 | $4.79 | $13.18 | |
CareSource
| Facility | $10.47 | $12.59 | $14.79 | |
CareSource
| Professional | $10.47 | $13.18 | $20.89 | |
Cigna
| Facility | $6.76 | $16.98 | $16.98 | |
Cigna
| Professional | $5.75 | $63.10 | $63.10 | |
Molina
| Professional | $5.75 | $5.75 | $5.75 | |
United
| Professional | $4.37 | $6.31 | $13.49 |