| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.68 | $19.62 | $22.53 | |
Aetna
| Professional | $13.48 | $22.92 | $32.29 | |
Anthem BCBS
| Professional | $17.22 | $17.22 | $19.13 | |
CareSource
| Facility | $28.63 | $52.79 | $62.22 | |
CareSource
| Professional | $32.44 | $45.80 | $62.98 | |
Cigna
| Facility | $22.51 | $26.66 | $48.22 | |
Cigna
| Professional | $22.51 | $26.66 | $202.10 | |
Molina
| Professional | $21.37 | $26.07 | $49.62 | |
United
| Professional | $12.70 | $19.05 | $26.99 |