| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.54 | $16.37 | $18.80 | |
Aetna
| Professional | $10.54 | $18.80 | $27.29 | |
Anthem BCBS
| Professional | $14.13 | $14.13 | $15.95 | |
CareSource
| Facility | $22.98 | $32.17 | $44.92 | |
CareSource
| Professional | $22.98 | $25.28 | $36.77 | |
Cigna
| Facility | $37.33 | $37.33 | $37.33 | |
Cigna
| Professional | $16.27 | $16.27 | $43.53 | |
Molina
| Professional | $18.57 | $22.60 | $41.42 | |
United
| Professional | $10.60 | $15.89 | $20.34 |