| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $20.38 | $20.38 | |
Aetna
| Professional | $20.38 | $20.38 | $21.15 | |
Anthem BCBS
| Professional | $10.50 | $10.50 | $21.24 | |
CareSource
| Facility | $27.16 | $44,449.56 | $55,999.44 | |
CareSource
| Professional | $15.39 | $22.31 | $47,249.53 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $11.90 | $32.36 | $32.36 |