| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.57 | $7.57 | $12.87 | |
Aetna
| Professional | $7.57 | $7.57 | $7.57 | |
Anthem BCBS
| Facility | $8.57 | $8.93 | $15.14 | |
Anthem BCBS
| Professional | $6.43 | $7.57 | $7.57 | |
CareSource
| Facility | $7.57 | $8.33 | $12.11 | |
CareSource
| Professional | $7.57 | $8.33 | $11.66 | |
Cigna
| Facility | $6.77 | $6.77 | $65.00 | |
Cigna
| Professional | $6.77 | $10.11 | $10.11 | |
United
| Professional | $7.57 | $7.57 | $7.57 |