| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Facility | $716.80 | $716.80 | $716.80 | |
Anthem BCBS
| Professional | $140.00 | $285.00 | $285.00 | |
Cigna
| Professional | $309.58 | $309.58 | $309.58 | |
Denver HMP
| Facility | $1.26 | $1.26 | $2.12 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |