| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $999.03 | $999.03 | $999.03 | |
Aetna
| Professional | $999.03 | $999.03 | $999.03 | |
Denver HMP
| Facility | $999.03 | $999.03 | $1,678.37 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 |