| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.01 | $26.16 | $50.89 | |
Aetna
| Professional | $14.18 | $16.61 | $20.26 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $23.67 | |
CareSource
| Facility | $22.29 | $28.36 | $33.43 | |
CareSource
| Professional | $20.26 | $26.34 | $33.43 | |
Cigna
| Facility | $47.24 | $47.24 | $47.24 | |
Cigna
| Professional | $10.65 | $15.20 | $42.89 | |
United
| Professional | $11.97 | $12.16 | $22.56 |