| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.00 | $25.00 | $25.00 | |
Anthem BCBS
| Facility | $0.99 | $0.99 | $1.91 | |
Anthem BCBS
| Professional | $0.84 | $0.99 | $1.36 | |
CareSource
| Facility | $0.42 | $28,874.72 | $39,374.61 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 | |
Cigna
| Professional | $1.31 | $1.31 | $1.31 | |
United
| Professional | $0.20 | $0.27 | $0.46 |