| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.90 | $142.90 | $142.90 | |
Aetna
| Professional | $64.33 | $142.90 | $142.90 | |
Anthem BCBS
| Professional | $146.01 | $146.01 | $146.01 | |
Denver HMP
| Facility | $117.57 | $142.90 | $228.64 |