| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
Anthem BCBS
| Professional | $2.02 | $2.02 | $2.33 | |
CareSource
| Facility | $18.42 | $18.42 | $21.06 | |
Cigna
| Professional | $21.00 | $21.00 | $21.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |