| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.69 | $18.14 | $20.84 | |
Aetna
| Professional | $11.69 | $20.55 | $30.26 | |
Anthem BCBS
| Professional | $15.93 | $15.93 | $17.70 | |
CareSource
| Facility | $26.49 | $49.45 | $58.28 | |
CareSource
| Professional | $33.54 | $42.38 | $58.28 | |
Cigna
| Facility | $12.60 | $21.22 | $41.39 | |
Cigna
| Professional | $18.04 | $21.22 | $162.53 | |
Molina
| Professional | $19.77 | $24.12 | $45.92 | |
United
| Professional | $10.39 | $16.59 | $23.29 |