| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $16.13 | $18.43 | $19.35 | |
Anthem BCBS
| Professional | $11.48 | $11.48 | $34.83 | |
CareSource
| Facility | $28.20 | $32.26 | $38.02 | |
CareSource
| Professional | $26.50 | $32.26 | $46.08 | |
Cigna
| Facility | $27.65 | $27.65 | $27.65 | |
Cigna
| Professional | $10.61 | $29.34 | $48.31 | |
United
| Professional | $18.77 | $28.31 | $45.62 |