| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.51 | $176.56 | $235.41 | |
Aetna
| Facility | 25 | $946.05 | $946.05 | $946.05 |
Denver HMP
| Facility | $192.28 | $274.89 | $330.03 | |
Kaiser Permanente
| Professional | $211.55 | $290.37 | $503.70 |