| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.08 | $318.08 | $318.08 | |
Aetna
| Professional | $318.08 | $335.40 | $436.96 | |
Anthem BCBS
| Professional | $395.39 | $395.39 | $395.39 | |
Denver HMP
| Facility | $318.08 | $445.87 | $688.21 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |