| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,551.00 | $5,503.00 | $10,651.00 | |
Denver HMP
| Facility | $17.75 | $21.30 | $29.82 | |
Kaiser Permanente
| Professional | $16.25 | $23.18 | $29.80 | |
Kaiser Permanente
| Professional | 80 | $0.48 | $0.48 | $0.48 |
Kaiser Permanente
| Professional | AS | $0.41 | $0.41 | $0.41 |
United
| Facility | $658.00 | $1,464.00 | $3,011.00 |