| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,304.28 | $4,304.28 | $5,157.01 | |
Moda Health
| Facility | $1,625.31 | $2,426.73 | $3,198.87 | |
Moda Health
| Professional | $2,392.32 | $2,392.32 | $2,392.32 | |
Providence
| Facility | $1,625.31 | $2,426.73 | $3,198.87 | |
Providence
| Professional | $2,392.32 | $2,392.32 | $2,392.32 |