| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
Anthem BCBS
| Facility | $4.40 | $4.40 | $8.49 | |
Anthem BCBS
| Professional | $4.40 | $4.40 | $6.07 | |
CareSource
| Facility | $6.79 | $6.79 | $8.80 | |
CareSource
| Professional | $6.79 | $8.15 | $10.19 | |
Cigna
| Professional | $4.37 | $4.37 | $5.81 |