| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.87 | $25.87 | $136.00 | |
Anthem BCBS
| Professional | $18.70 | $22.00 | $27.91 | |
CareSource
| Facility | $21.44 | $31.94 | $46.14 | |
CareSource
| Professional | $20.76 | $36.72 | $43.12 | |
Cigna
| Professional | $18.77 | $18.77 | $29.04 |