| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.56 | $121.56 | $121.56 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Denver HMP
| Facility | $121.56 | $121.56 | $204.22 | |
Kaiser Permanente
| Professional | $155.00 | $281.00 | $329.00 |