| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.95 | $22.95 | $26.79 | |
Aetna
| Professional | $11.66 | $16.07 | $22.95 | |
Anthem BCBS
| Facility | $11.90 | $11.90 | $22.97 | |
Anthem BCBS
| Professional | $11.90 | $11.90 | $16.89 | |
CareSource
| Facility | $26.79 | $34.83 | $40.19 | |
CareSource
| Professional | $28.13 | $32.15 | $40.19 | |
Cigna
| Professional | $10.93 | $12.04 | $22.17 | |
United
| Professional | $7.58 | $13.37 | $19.19 |