| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.00 | $26.00 | $26.00 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $11.97 | $28,874.72 | $39,374.61 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 | |
Cigna
| Professional | $0.03 | $0.03 | $1.41 | |
United
| Professional | $0.51 | $0.68 | $1.15 |