| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.68 | $23.68 | $23.68 | |
Anthem BCBS
| Professional | $18.70 | $22.00 | $27.91 | |
CareSource
| Facility | $19.17 | $29.50 | $42.61 | |
CareSource
| Professional | $19.17 | $33.92 | $39.82 | |
Cigna
| Professional | $29.04 | $75.72 | $75.72 |