| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.21 | $1.21 | $1.42 | |
Aetna
| Professional | $1.21 | $1.21 | $1.42 | |
Anthem BCBS
| Professional | $83.63 | $98.39 | $98.39 | |
CareSource
| Facility | $90.17 | $90.17 | $90.17 | |
CareSource
| Professional | $66.79 | $74.06 | $90.17 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |