| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $32.00 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
Anthem BCBS
| Facility | $5.56 | $5.56 | $10.73 | |
Anthem BCBS
| Professional | $5.56 | $5.56 | $7.89 | |
CareSource
| Facility | $6.97 | $7.22 | $9.55 | |
CareSource
| Professional | $6.97 | $8.36 | $10.45 | |
Cigna
| Professional | $7.34 | $17.20 | $17.20 |