| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.90 | |
Aetna
| Professional | $0.73 | $0.73 | $2.11 | |
Anthem BCBS
| Professional | $0.70 | $2.81 | $2.90 | |
CareSource
| Facility | $8.69 | $44,449.56 | $55,999.44 | |
CareSource
| Professional | $4.83 | $6.44 | $9.56 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $1.02 | $5.22 | $5.22 |