| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.50 | $18.50 | $18.50 | |
Aetna
| Professional | $6.29 | $18.37 | $18.50 | |
BCBS
| Professional | $19.84 | $24.79 | $26.25 | |
CareSource
| Facility | $25.28 | $29.87 | $34.47 | |
CareSource
| Professional | $24.13 | $28.73 | $53.28 | |
Cigna
| Professional | $7.78 | $11.73 | $13.02 | |
United
| Professional | $7.64 | $10.69 | $16.44 |