| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.86 | $13.77 | $15.81 | |
Aetna
| Professional | $8.86 | $15.81 | $22.95 | |
Anthem BCBS
| Professional | $11.90 | $11.90 | $13.43 | |
CareSource
| Facility | $36.17 | $37.77 | $44.20 | |
CareSource
| Professional | $28.67 | $37.51 | $53.58 | |
Cigna
| Facility | $31.39 | $31.39 | $31.39 | |
Cigna
| Professional | $10.93 | $12.04 | $33.49 | |
Molina
| Professional | $15.62 | $19.03 | $34.83 | |
United
| Professional | $8.91 | $13.37 | $17.27 |