| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $15.00 | $25.00 | $25.00 | |
Anthem BCBS
| Professional | $23.80 | $23.80 | $23.80 | |
Cigna
| Facility | $32.74 | $32.74 | $32.74 | |
Cigna
| Professional | $23.90 | $23.90 | $32.74 | |
Denver HMP
| Facility | $25.00 | $25.00 | $30.00 | |
Denver HMP
| Professional | $25.00 | $25.00 | $25.00 | |
Kaiser Permanente
| Professional | $32.00 | $111.00 | $155.00 |