| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.90 | |
Aetna
| Professional | $0.34 | $0.34 | $0.97 | |
Anthem BCBS
| Professional | $0.65 | $1.11 | $1.30 | |
CareSource
| Facility | $53,899.46 | $53,899.46 | $53,899.46 | |
CareSource
| Professional | $1.96 | $2.10 | $2.65 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.42 | $1.32 | $1.32 |