| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.00 | $3,031.30 | $8,734.00 | |
Denver HMP
| Facility | $245.97 | $273.30 | $405.40 | |
Kaiser Permanente
| Professional | $275.77 | $360.25 | $496.90 | |
Kaiser Permanente
| Professional | 80 | $7.95 | $7.95 | $7.95 |
Kaiser Permanente
| Professional | AS | $6.76 | $6.76 | $6.76 |
United
| Facility | $730.00 | $1,491.00 | $2,720.00 |