| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,128.17 | $2,128.17 | $2,128.17 | |
Aetna
| Professional | $11.16 | $109.61 | $2,128.17 | |
Denver HMP
| Facility | $2,128.17 | $2,128.17 | $3,575.33 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |