| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.04 | $20.04 | $20.04 | |
Aetna
| Professional | $17.76 | $20.30 | $24.94 | |
Anthem BCBS
| Professional | $12.10 | $12.10 | $36.72 | |
CareSource
| Facility | $30.98 | $35.52 | $41.86 | |
CareSource
| Professional | $29.18 | $35.52 | $50.74 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $11.63 | $31.34 | $51.19 | |
United
| Professional | $24.95 | $29.85 | $40.88 |