| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.23 | $3,189.00 | $9,872.00 | |
Denver HMP
| Facility | $325.32 | $402.63 | $579.07 | |
Kaiser Permanente
| Professional | $354.31 | $483.15 | $644.20 | |
Kaiser Permanente
| Professional | 80 | $10.31 | $10.31 | $10.31 |
Kaiser Permanente
| Professional | AS | $8.76 | $8.76 | $8.76 |
United
| Facility | $730.00 | $1,491.00 | $2,720.00 |