| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.23 | $3,889.00 | $10,651.00 | |
Denver HMP
| Facility | $218.01 | $242.23 | $359.32 | |
Kaiser Permanente
| Professional | $244.43 | $319.30 | $440.42 | |
Kaiser Permanente
| Professional | 80 | $7.05 | $7.05 | $7.05 |
Kaiser Permanente
| Professional | AS | $5.99 | $5.99 | $5.99 |
United
| Facility | $730.00 | $1,491.00 | $2,720.00 |