| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $65.00 | $65.00 | |
Aetna
| Professional | $26.00 | $26.00 | $65.00 | |
Anthem BCBS
| Professional | $6.26 | $98.39 | $98.39 | |
Denver HMP
| Facility | $65.00 | $65.00 | $109.20 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |