| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.59 | $7.13 | $8.19 | |
Aetna
| Professional | $4.59 | $8.19 | $11.89 | |
Anthem BCBS
| Professional | $5.95 | $5.95 | $7.21 | |
CareSource
| Facility | $18.73 | $19.57 | $22.90 | |
CareSource
| Professional | $14.85 | $19.43 | $27.76 | |
Cigna
| Facility | $16.26 | $16.26 | $16.26 | |
Cigna
| Professional | $7.09 | $7.09 | $18.95 | |
Molina
| Professional | $8.09 | $9.83 | $18.04 | |
United
| Professional | $4.62 | $6.91 | $8.86 |