| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.70 | $31.18 | $31.18 |
Aetna
| Professional | $169.28 | $208.64 | $242.96 | |
Anthem BCBS
| Professional | $251.95 | $338.76 | $498.18 | |
Cigna
| Professional | $156.09 | $274.74 | $466.40 | |
Denver HMP
| Professional | $428.07 | $428.07 | $461.43 | |
Kaiser Permanente
| Professional | $231.39 | $365.60 | $458.51 | |
Kaiser Permanente
| Professional | 26 | $29.70 | $46.93 | $57.92 |
United
| Professional | $153.59 | $370.00 | $628.99 |