| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,856.00 | $36,591.04 | $36,591.04 | |
Aetna
| Professional | $1,330.74 | $4,856.00 | $4,856.00 | |
Denver HMP
| Facility | $2,398.00 | $3,642.00 | $5,098.80 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |