| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $40.00 | |
Aetna
| Professional | $28.00 | $40.00 | $40.00 | |
Anthem BCBS
| Professional | $126.41 | $126.41 | $126.41 | |
Denver HMP
| Facility | $40.00 | $40.00 | $48.00 | |
Denver HMP
| Professional | $40.00 | $40.00 | $40.00 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |