| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.80 | $9.69 | $16.42 | |
Aetna
| Professional | $5.80 | $12.81 | $16.42 | |
Anthem BCBS
| Facility | $17.25 | $17.25 | $17.25 | |
Anthem BCBS
| Professional | $7.40 | $11.36 | $11.36 | |
CareSource
| Facility | $24.65 | $24.65 | $24.65 | |
CareSource
| Professional | $14.14 | $20.26 | $32.56 | |
Cigna
| Facility | $20.22 | $20.22 | $20.22 | |
Cigna
| Professional | $10.19 | $83.15 | $121.44 | |
United
| Professional | $8.61 | $12.69 | $19.73 |