| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.67 | $8.81 | $10.11 | |
Aetna
| Professional | $5.21 | $9.46 | $13.21 | |
Anthem BCBS
| Professional | $7.72 | $7.72 | $8.58 | |
CareSource
| Facility | $12.86 | $24.00 | $28.28 | |
CareSource
| Professional | $16.28 | $20.57 | $28.28 | |
Cigna
| Facility | $5.40 | $10.29 | $20.09 | |
Cigna
| Professional | $8.75 | $10.29 | $80.40 | |
Molina
| Professional | $9.59 | $11.70 | $22.28 | |
United
| Professional | $5.04 | $7.90 | $11.30 |