| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.07 | |
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $5.24 | $6.55 | $6.55 | |
CareSource
| Facility | $20.19 | $30.94 | $44.76 | |
CareSource
| Professional | $21.26 | $34.31 | $49.40 | |
Cigna
| Facility | $7.00 | $7.00 | $7.00 | |
Cigna
| Professional | $0.04 | $20.03 | $20.03 | |
Molina
| Professional | $22.87 | $23.78 | $3,000.00 |