| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Ambetter
| Professional | $2.09 | $2.09 | $2.09 | |
Anthem BCBS
| Professional | $1.32 | $1.32 | $1.48 | |
CareSource
| Facility | $2.95 | $3.89 | $4.90 | |
CareSource
| Professional | $2.95 | $3.55 | $4.57 | |
Cigna
| Facility | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $1.51 | $2.29 | $14.45 | |
Molina
| Professional | $2.09 | $2.09 | $4.27 | |
United
| Professional | $1.00 | $1.48 | $1.95 |