| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.02 | $19.02 | $19.02 | |
Aetna
| Professional | $19.02 | $19.02 | $19.26 | |
Anthem BCBS
| Professional | $19.82 | $21.80 | $38.25 | |
CareSource
| Facility | $18.35 | $18.72 | $26.50 | |
CareSource
| Professional | $18.35 | $18.35 | $22.02 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 |