| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $18.20 | $151.36 | |
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
Anthem BCBS
| Professional | $3.80 | $5.37 | $10.96 | |
CareSource
| Facility | $19.05 | $19.05 | $44.67 | |
CareSource
| Professional | $19.05 | $19.05 | $19.05 | |
Cigna
| Professional | $19.05 | $24.55 | $40.74 | |
United
| Professional | $17.38 | $23.44 | $41.69 |