| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $19.00 | $19.00 | |
Aetna
| Professional | $14.84 | $19.00 | $20.97 | |
Anthem BCBS
| Professional | $3.60 | $4.47 | $7.16 | |
CareSource
| Facility | $3.93 | $3.93 | $9.86 | |
CareSource
| Professional | $3.93 | $5.46 | $9.86 | |
Cigna
| Professional | $5.60 | $12.00 | $15.00 | |
United
| Professional | $4.51 | $5.92 | $9.34 |