| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.20 | $0.90 | $35.47 | |
Aetna
| Professional | $0.17 | $0.20 | $1.35 | |
Anthem BCBS
| Facility | $0.21 | $0.40 | $0.60 | |
Anthem BCBS
| Professional | $0.17 | $0.20 | $0.27 | |
CareSource
| Facility | $0.20 | $0.20 | $0.30 | |
CareSource
| Professional | $0.20 | $0.20 | $0.24 | |
Cigna
| Facility | $0.20 | $0.20 | $0.20 | |
Cigna
| Professional | $0.13 | $0.20 | $0.41 | |
United
| Professional | $0.15 | $0.20 | $0.34 |