| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.65 | $87.65 | $700.00 | |
Aetna
| Professional | $87.65 | $700.00 | $700.00 | |
Anthem BCBS
| Professional | $73.01 | $73.01 | $73.01 | |
Denver HMP
| Facility | $700.00 | $700.00 | $1,176.00 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |