| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $1.00 | $2.00 | $3.02 | |
Anthem BCBS
| Professional | $2.14 | $2.14 | $2.40 | |
CareSource
| Facility | $4.90 | $6.03 | $7.76 | |
CareSource
| Professional | $4.79 | $5.50 | $7.08 | |
Cigna
| Facility | $7.08 | $7.08 | $7.08 | |
Cigna
| Professional | $2.29 | $3.63 | $21.38 | |
Molina
| Professional | $3.16 | $3.16 | $6.31 | |
United
| Professional | $1.48 | $2.19 | $2.95 |