| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.88 | $7.20 | $12.96 | |
Aetna
| Professional | $2.88 | $2.88 | $3.06 | |
Anthem BCBS
| Facility | $1.93 | $6.00 | $9.00 | |
Anthem BCBS
| Professional | $1.46 | $1.46 | $2.37 | |
CareSource
| Facility | $3.82 | $37.90 | $48.02 | |
CareSource
| Professional | $33.53 | $39.36 | $51.45 | |
Cigna
| Facility | $3.06 | $3.06 | $3.06 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
United
| Professional | $3.00 | $3.00 | $3.99 |