| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.23 | $3,889.00 | $9,872.00 | |
Denver HMP
| Facility | $411.71 | $470.25 | $691.67 | |
Kaiser Permanente
| Professional | $376.82 | $537.32 | $690.84 | |
Kaiser Permanente
| Professional | 80 | $11.17 | $11.17 | $11.17 |
Kaiser Permanente
| Professional | AS | $9.49 | $9.49 | $9.49 |
United
| Facility | $658.00 | $1,464.00 | $3,011.00 |