| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.98 | $103.98 | $1,151.61 | |
Denver HMP
| Facility | $103.98 | $128.02 | $174.69 | |
Kaiser Permanente
| Professional | $101.16 | $144.25 | $185.47 | |
United
| Facility | $658.00 | $1,464.00 | $3,011.00 |