| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Facility | $2.29 | $2.29 | $4.44 | |
Anthem BCBS
| Professional | $2.29 | $2.29 | $3.26 | |
CareSource
| Facility | $2.08 | $2.16 | $2.85 | |
CareSource
| Professional | $2.08 | $2.49 | $3.12 | |
Cigna
| Professional | $1.76 | $1.76 | $3.04 |