| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.09 | $170.09 | $656.55 | |
Aetna
| Professional | $170.09 | $170.09 | $170.09 | |
Anthem BCBS
| Professional | $180.30 | $180.30 | $180.30 | |
Denver HMP
| Facility | $170.09 | $170.09 | $265.49 | |
Kaiser Permanente
| Professional | $171.00 | $171.00 | $171.00 | |
United
| Professional | $180.30 | $180.30 | $180.30 |