| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.12 | $22.12 | $22.12 | |
Aetna
| Professional | $16.20 | $22.12 | $29.83 | |
Anthem BCBS
| Professional | $25.13 | $25.13 | $35.70 | |
Denver HMP
| Facility | $20.50 | $26.54 | $34.47 | |
Kaiser Permanente
| Professional | $329.00 | $329.00 | $329.00 |