| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.68 | $19.68 | $22.98 | |
Aetna
| Professional | $9.99 | $13.79 | $19.68 | |
Anthem BCBS
| Facility | $10.19 | $10.19 | $19.67 | |
Anthem BCBS
| Professional | $10.19 | $10.19 | $14.46 | |
CareSource
| Facility | $22.98 | $29.87 | $34.47 | |
CareSource
| Professional | $22.98 | $27.58 | $32.40 | |
Cigna
| Professional | $11.73 | $11.73 | $23.57 | |
United
| Professional | $6.50 | $11.46 | $17.26 |