| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.23 | $28.58 | $29.96 | |
Aetna
| Professional | $18.67 | $28.68 | $31.86 | |
Anthem BCBS
| Professional | $15.15 | $18.86 | $35.84 | |
CareSource
| Facility | $31.33 | $38.14 | $38.14 | |
CareSource
| Professional | $31.33 | $34.04 | $54.48 | |
Cigna
| Facility | $10.69 | $35.79 | $35.79 | |
Cigna
| Professional | $21.41 | $33.86 | $149.66 | |
Molina
| Professional | $32.34 | $32.34 | $35.40 | |
United
| Professional | $20.49 | $28.45 | $53.05 |