| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.93 | $15.93 | $16.16 | |
Aetna
| Professional | $13.54 | $16.16 | $18.64 | |
Anthem BCBS
| Professional | $14.04 | $18.73 | $25.74 | |
CareSource
| Facility | $18.55 | $22.90 | $29.12 | |
CareSource
| Professional | $21.10 | $24.16 | $29.62 | |
Cigna
| Facility | $41.24 | $65.00 | $110.00 | |
Cigna
| Professional | $18.82 | $24.97 | $38.22 | |
United
| Professional | $20.04 | $23.60 | $44.14 |