| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $173.78 | |
Aetna
| Professional | $12.88 | $15.85 | $20.89 | |
BCBS
| Facility | $16.22 | $16.98 | $54.95 | |
BCBS
| Professional | $24.55 | $42.66 | $66.07 | |
BCBS
| Professional | CO | $20.89 | $23.44 | $28.18 |
Cigna
| Facility | $46.77 | $61.66 | $100.00 | |
Cigna
| Professional | $17.78 | $22.39 | $28.84 | |
Health Partners
| Facility | $45.71 | $63.10 | $128.82 | |
Health Partners
| Professional | $17.78 | $17.78 | $43.65 | |
Medica
| Facility | $14.13 | $21.38 | $38.90 | |
Medica
| Professional | $19.50 | $23.44 | $138.04 | |
United
| Professional | $19.50 | $22.91 | $66.07 |