| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
Anthem BCBS
| Professional | $69.04 | $94.12 | $138.66 | |
Denver HMP
| Facility | $628.00 | $628.00 | $973.40 | |
Kaiser Permanente
| Professional | $155.00 | $329.00 | $705.00 |