| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.86 | $548.86 | $548.86 | |
Aetna
| Professional | $548.86 | $548.86 | $548.86 | |
Denver HMP
| Facility | $548.86 | $548.86 | $922.08 | |
Kaiser Permanente
| Professional | $155.00 | $618.00 | $618.00 | |
United
| Professional | $4,800.00 | $4,800.00 | $4,800.00 |