| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,144.00 | $6,028.00 | $35,663.00 | |
Denver HMP
| Facility | $470.28 | $599.61 | $846.50 | |
Kaiser Permanente
| Professional | $512.19 | $698.45 | $931.26 | |
Kaiser Permanente
| Professional | 80 | $14.90 | $14.90 | $14.90 |
Kaiser Permanente
| Professional | AS | $12.67 | $12.67 | $12.67 |
United
| Facility | $916.00 | $2,720.00 | $28,456.00 |