| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.96 | $154.96 | $154.96 | |
Aetna
| Professional | $106.69 | $154.96 | $163.36 | |
Anthem BCBS
| Professional | $170.79 | $170.79 | $170.79 | |
Denver HMP
| Facility | $96.80 | $154.96 | $238.64 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |