| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.74 | $18.64 | $40.40 | |
Aetna
| Professional | $8.66 | $8.74 | $9.34 | |
Anthem BCBS
| Facility | $9.09 | $17.32 | $25.98 | |
Anthem BCBS
| Professional | $7.36 | $8.65 | $11.93 | |
CareSource
| Facility | $8.66 | $8.66 | $12.99 | |
CareSource
| Professional | $8.66 | $8.66 | $10.39 | |
Cigna
| Facility | $8.66 | $8.66 | $8.66 | |
Cigna
| Professional | $6.71 | $8.66 | $21.37 | |
United
| Professional | $6.50 | $8.66 | $12.99 |