| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.19 | $10.39 | $10.67 | |
Aetna
| Professional | $8.66 | $10.39 | $10.67 | |
BCBS
| Facility | $9.65 | $9.65 | $9.65 | |
BCBS
| Professional | $9.65 | $9.65 | $9.65 | |
CareSource
| Facility | $8.66 | $8.66 | $8.66 | |
CareSource
| Professional | $8.66 | $8.66 | $8.66 | |
Cigna
| Facility | $6.41 | $8.66 | $8.66 | |
Cigna
| Professional | $8.66 | $8.66 | $17.63 | |
United
| Professional | $3.46 | $8.66 | $8.92 |