| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.50 | $0.50 | $3,694.00 | |
Anthem BCBS
| Professional | $0.18 | $0.25 | $1.00 | |
CareSource
| Facility | $18.63 | $19.05 | $22.02 | |
CareSource
| Professional | $16.77 | $16.77 | $16.77 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.21 | $1.21 | $1.21 |