| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $17.38 | $43.65 | |
Aetna
| Professional | $15.85 | $25.12 | $43.65 | |
Anthem BCBS
| Professional | $14.13 | $24.55 | $38.02 | |
CareSource
| Facility | $15.85 | $18.62 | $26.30 | |
CareSource
| Professional | $13.80 | $20.42 | $26.30 | |
Cigna
| Facility | $28.18 | $28.18 | $28.18 | |
Cigna
| Professional | $18.62 | $37.15 | $186.21 | |
Molina
| Professional | $10.23 | $32.36 | $33.11 | |
United
| Professional | $15.85 | $28.18 | $52.48 |