| 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 | $19.73 | |
Anthem BCBS
| Professional | $9.75 | $13.00 | $19.82 | |
CareSource
| Facility | $25.69 | $44,449.56 | $55,999.44 | |
CareSource
| Professional | $14.56 | $21.10 | $47,249.53 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $11.05 | $30.20 | $30.20 |