| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.91 | $9.91 | $9.91 | |
Aetna
| Professional | $5.08 | $9.14 | $12.81 | |
Anthem BCBS
| Professional | $5.29 | $9.81 | $16.04 | |
CareSource
| Facility | $14.88 | $20.27 | $26.04 | |
CareSource
| Professional | $12.35 | $17.25 | $29.76 | |
Cigna
| Facility | $17.44 | $17.44 | $17.44 | |
Cigna
| Professional | $5.91 | $5.91 | $17.52 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $4.09 | $6.71 | $9.82 |