| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.50 | $3,189.00 | $9,872.00 | |
Denver HMP
| Facility | $67.34 | $80.81 | $115.65 | |
Kaiser Permanente
| Professional | $74.76 | $101.03 | $148.16 | |
Kaiser Permanente
| Professional | 80 | $2.16 | $2.16 | $2.16 |
Kaiser Permanente
| Professional | AS | $1.83 | $1.83 | $1.83 |
United
| Facility | $730.00 | $1,491.00 | $2,720.00 |