| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.64 | $184.56 | $638.00 | |
Aetna
| Facility | 25 | $179.10 | $473.32 | $767.00 |
Cigna
| Facility | $718.89 | $718.89 | $718.89 | |
Denver HMP
| Facility | $10.51 | $18.71 | $40.19 | |
Kaiser Permanente
| Professional | $13.20 | $16.94 | $27.94 |