| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $3.00 | |
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Anthem BCBS
| Facility | $23.00 | $23.00 | $44.39 | |
Anthem BCBS
| Professional | $23.00 | $23.00 | $32.65 | |
CareSource
| Facility | $22.61 | $22.61 | $22.61 | |
Cigna
| Professional | $8.50 | $8.50 | $30.36 |