| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.83 | |
Aetna
| Professional | $0.41 | $0.41 | $1.74 | |
Anthem BCBS
| Professional | $0.70 | $1.25 | $1.57 | |
CareSource
| Facility | $2.49 | $44,449.56 | $55,999.44 | |
CareSource
| Professional | $1.39 | $1.85 | $2.74 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.52 | $2.21 | $2.21 |