| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $150.00 | $150.00 | |
Aetna
| Professional | $77.91 | $150.00 | $150.00 | |
Anthem BCBS
| Professional | $50.25 | $50.25 | $306.00 | |
Denver HMP
| Facility | $77.91 | $150.00 | $214.50 |