| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.71 | $134.71 | $134.71 | |
Aetna
| Professional | $134.71 | $134.71 | $182.97 | |
Anthem BCBS
| Professional | $168.47 | $168.47 | $168.47 | |
Denver HMP
| Facility | $134.71 | $187.10 | $370.08 |