| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $2.86 | $4.04 | $4.04 | |
Anthem BCBS
| Facility | $0.83 | $0.83 | $1.60 | |
Anthem BCBS
| Professional | $0.83 | $0.83 | $1.17 | |
CareSource
| Facility | $0.28 | $0.28 | $0.39 | |
CareSource
| Professional | $0.28 | $0.34 | $0.43 | |
Cigna
| Professional | $1.10 | $2.98 | $2.98 |