| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $6.25 | $28.13 | |
Aetna
| Professional | $6.25 | $6.25 | $6.64 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $7.64 | $8.41 | $11.97 | |
CareSource
| Professional | $7.64 | $7.64 | $9.17 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $0.47 | $4.82 | $13.26 | |
United
| Professional | $0.02 | $0.02 | $0.03 |