| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.98 | $660.98 | $660.98 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
Denver HMP
| Facility | $660.98 | $660.98 | $1,110.45 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |