| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $254.55 | $304.98 | $1,342.26 | |
Moda Health
| Facility | $132.85 | $506.46 | $759.92 | |
Moda Health
| Professional | $141.38 | $141.38 | $141.38 | |
Providence
| Facility | $132.85 | $506.46 | $759.92 | |
Providence
| Professional | $141.38 | $141.38 | $141.38 |