| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.89 | $11.89 | $13.88 | |
Aetna
| Professional | $6.04 | $8.33 | $11.89 | |
Anthem BCBS
| Facility | $5.95 | $5.95 | $11.48 | |
Anthem BCBS
| Professional | $5.95 | $5.95 | $8.44 | |
CareSource
| Facility | $13.88 | $18.04 | $20.82 | |
CareSource
| Professional | $14.57 | $16.66 | $20.82 | |
Cigna
| Professional | $7.09 | $7.09 | $14.24 | |
United
| Professional | $3.92 | $6.92 | $9.92 |