| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.54 | $186.54 | $186.54 | |
Aetna
| Professional | $123.80 | $186.54 | $224.00 | |
Anthem BCBS
| Professional | $134.87 | $195.96 | $279.93 | |
Denver HMP
| Facility | $158.46 | $186.54 | $298.45 | |
Kaiser Permanente
| Professional | $329.00 | $329.00 | $329.00 |