| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $978.04 | $1,171.56 | $18,096.21 | |
Moda Health
| Professional | $1,102.47 | $1,102.47 | $1,102.47 | |
Providence
| Facility | $947.02 | $1,171.56 | $18,096.21 | |
Providence
| Professional | $1,102.47 | $1,102.47 | $1,102.47 |