| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.54 | $103.54 | $399.66 | |
Aetna
| Professional | $103.54 | $103.54 | $103.54 | |
Anthem BCBS
| Professional | $111.85 | $111.85 | $111.85 | |
Denver HMP
| Facility | $103.54 | $132.01 | $164.54 | |
United
| Professional | $129.41 | $129.41 | $129.41 |