| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $441.00 | $441.00 | $441.00 | |
Anthem BCBS
| Facility | $0.14 | $0.14 | $0.27 | |
Anthem BCBS
| Professional | $0.11 | $0.14 | $0.18 | |
CareSource
| Facility | $119.88 | $119.88 | $119.88 | |
Cigna
| Professional | $0.18 | $0.18 | $0.18 |