| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.69 | $1.69 | $2.06 | |
Anthem BCBS
| Facility | $2.20 | $2.20 | $4.25 | |
Anthem BCBS
| Professional | $2.20 | $2.20 | $3.12 | |
CareSource
| Facility | $1.07 | $1.07 | $1.38 | |
CareSource
| Professional | $1.07 | $1.28 | $1.60 | |
Cigna
| Professional | $1.89 | $1.89 | $2.90 |