| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.86 | $128.86 | $128.86 | |
Aetna
| Professional | $20.00 | $20.00 | $128.86 | |
Anthem BCBS
| Facility | $40.60 | $40.60 | $40.60 | |
Anthem BCBS
| Professional | $43.11 | $68.09 | $102.01 | |
Cigna
| Professional | $73.00 | $154.65 | $189.75 | |
Denver HMP
| Facility | $20.00 | $128.86 | $206.18 | |
Kaiser Permanente
| Professional | $155.00 | $191.00 | $329.00 | |
United
| Professional | $12.93 | $230.00 | $230.00 |