| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.70 | $14.06 | $19.00 | |
Aetna
| Professional | $7.67 | $15.63 | $23.28 | |
Anthem BCBS
| Facility | $5.28 | $5.28 | $10.19 | |
Anthem BCBS
| Professional | $5.28 | $9.94 | $17.89 | |
CareSource
| Facility | $6.46 | $9.31 | $11.55 | |
CareSource
| Professional | $19.67 | $22.00 | $27.80 | |
Cigna
| Facility | $13.13 | $13.13 | $13.13 | |
Cigna
| Professional | $8.77 | $18.87 | $32.86 | |
United
| Professional | $16.77 | $21.80 | $32.15 |