| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.62 | $3,889.00 | $16,963.00 | |
Denver HMP
| Facility | $740.63 | $1,012.91 | $1,333.13 | |
Kaiser Permanente
| Professional | $806.63 | $1,099.95 | $1,466.60 | |
Kaiser Permanente
| Professional | 80 | $23.47 | $23.47 | $23.47 |
Kaiser Permanente
| Professional | AS | $19.95 | $19.95 | $19.95 |
United
| Facility | $730.00 | $1,491.00 | $3,352.00 |