| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.65 | $2.65 | $4.51 | |
Aetna
| Professional | $2.65 | $2.65 | $2.65 | |
Anthem BCBS
| Facility | $3.00 | $3.13 | $5.30 | |
Anthem BCBS
| Professional | $2.25 | $2.65 | $2.65 | |
CareSource
| Facility | $2.65 | $2.65 | $4.24 | |
CareSource
| Professional | $2.65 | $2.78 | $3.71 | |
Cigna
| Facility | $2.65 | $2.65 | $3.08 | |
Cigna
| Professional | $2.00 | $2.65 | $4.59 | |
United
| Professional | $2.65 | $2.65 | $2.65 |