| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.69 | $14.69 | $17.14 | |
Aetna
| Professional | $4.69 | $10.28 | $14.69 | |
Anthem BCBS
| Facility | $7.72 | $7.72 | $14.90 | |
Anthem BCBS
| Professional | $7.72 | $7.72 | $10.96 | |
CareSource
| Facility | $12.38 | $18.85 | $25.71 | |
CareSource
| Professional | $14.57 | $18.85 | $23.14 | |
Cigna
| Facility | $5.40 | $10.29 | $10.29 | |
Cigna
| Professional | $8.75 | $10.29 | $17.57 | |
United
| Professional | $4.84 | $8.19 | $11.53 |