| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.04 | $5,428.00 | $10,651.00 | |
Anthem BCBS
| Facility | $16,178.00 | $26,922.00 | $68,628.00 | |
Denver HMP
| Facility | $143.66 | $158.28 | $205.43 | |
Kaiser Permanente
| Professional | $131.49 | $187.50 | $241.07 | |
Kaiser Permanente
| Professional | 80 | $3.90 | $3.90 | $3.90 |
Kaiser Permanente
| Professional | AS | $3.31 | $3.31 | $3.31 |
United
| Facility | $2,506.00 | $8,565.00 | $14,156.00 |