| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.57 | $11.57 | $11.57 | |
Aetna
| Professional | $7.00 | $11.57 | $12.31 | |
Anthem BCBS
| Professional | $7.52 | $10.02 | $10.82 | |
CareSource
| Facility | $17.88 | $20.51 | $24.17 | |
CareSource
| Professional | $16.85 | $20.51 | $29.30 | |
Cigna
| Facility | $23.77 | $23.77 | $23.77 | |
Cigna
| Professional | $6.69 | $10.99 | $19.35 | |
United
| Professional | $8.36 | $14.65 | $21.98 |