| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $35.17 | |
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Facility | $5.57 | $5.57 | $10.75 | |
Anthem BCBS
| Professional | $4.91 | $5.57 | $7.68 | |
CareSource
| Facility | $19.13 | $19.13 | $26.21 | |
CareSource
| Professional | $19.13 | $22.96 | $28.69 | |
Cigna
| Professional | $7.35 | $20.03 | $20.03 |