| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.23 | $3,133.00 | $10,651.00 | |
Denver HMP
| Facility | $207.90 | $288.82 | $349.27 | |
Kaiser Permanente
| Professional | $259.88 | $322.25 | $411.64 | |
Kaiser Permanente
| Professional | 80 | $6.65 | $6.65 | $6.65 |
Kaiser Permanente
| Professional | AS | $5.65 | $5.65 | $5.65 |
United
| Facility | $658.00 | $1,464.00 | $3,011.00 |