| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.64 | $252.64 | $252.64 | |
Aetna
| Professional | $252.64 | $252.64 | $252.64 | |
Anthem BCBS
| Professional | $31.94 | $79.29 | $79.29 | |
Denver HMP
| Facility | $252.64 | $252.64 | $401.70 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |