| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,025.28 | $1,076.03 | $1,289.21 | |
Moda Health
| Professional | $1,964.62 | $2,206.76 | $2,702.16 | |
Pacific Source
| Facility | $1,780.86 | $1,780.86 | $1,780.86 | |
Providence
| Facility | $2,223.51 | $2,223.51 | $2,223.51 | |
Providence
| Professional | $1,705.70 | $1,882.92 | $2,487.94 |