| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.28 | $38.11 | $138.60 | |
Aetna
| Professional | $36.34 | $39.29 | $70.56 | |
Anthem BCBS
| Professional | $19.80 | $35.28 | $35.28 | |
CareSource
| Facility | $53.04 | $67.41 | $69.51 | |
CareSource
| Professional | $48.45 | $59.40 | $84.26 | |
Cigna
| Professional | $14.86 | $14.86 | $14.86 |