| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.29 | $513.29 | $513.29 | |
Aetna
| Professional | $89.23 | $339.27 | $513.29 | |
Anthem BCBS
| Professional | $466.84 | $466.84 | $466.84 | |
Denver HMP
| Facility | $72.92 | $513.29 | $821.28 |