| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $310.19 | $310.19 | $310.19 | |
Denver HMP
| Facility | $8.00 | $8.00 | $12.80 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |