| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $351.01 | $462.99 | $539.46 | |
Moda Health
| Professional | $466.35 | $466.35 | $466.35 | |
Providence
| Facility | $351.01 | $457.55 | $539.46 | |
Providence
| Professional | $466.35 | $466.35 | $466.35 |