| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.78 | $12.78 | $13.58 | |
Anthem BCBS
| Professional | $3.09 | $3.09 | $11.15 | |
CareSource
| Facility | $16.94 | $16.94 | $25.57 | |
Cigna
| Facility | $13.58 | $13.58 | $85.00 | |
Cigna
| Professional | $13.58 | $13.58 | $13.58 | |
United
| Professional | $1.44 | $1.98 | $3.63 |