| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.37 | $21.37 | $21.37 | |
Aetna
| Professional | $18.75 | $21.37 | $27.05 | |
Anthem BCBS
| Professional | $10.82 | $10.82 | $23.67 | |
CareSource
| Facility | $33.36 | $37.86 | $44.63 | |
CareSource
| Professional | $31.11 | $37.86 | $54.10 | |
Cigna
| Facility | $32.46 | $32.46 | $32.46 | |
Cigna
| Professional | $14.22 | $14.22 | $39.63 | |
United
| Professional | $13.31 | $16.23 | $29.76 |