| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.76 | $88.76 | $88.76 | |
Aetna
| Professional | $88.76 | $88.76 | $88.76 | |
Anthem BCBS
| Professional | $88.91 | $88.91 | $88.91 | |
Denver HMP
| Facility | $88.76 | $88.76 | $141.13 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |