| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.36 | $124.36 | $124.36 | |
Aetna
| Professional | $124.36 | $127.56 | $140.32 | |
Anthem BCBS
| Professional | $138.16 | $138.16 | $138.16 | |
Denver HMP
| Facility | $124.36 | $156.69 | $208.05 |