| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.67 | $26.67 | $26.67 | |
Aetna
| Professional | $22.47 | $26.67 | $31.09 | |
Anthem BCBS
| Professional | $35.86 | $35.86 | $43.00 | |
Denver HMP
| Facility | $25.21 | $34.14 | $50.30 | |
Kaiser Permanente
| Professional | $329.00 | $329.00 | $329.00 |