| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,847.22 | $1,847.22 | $2,213.17 | |
Moda Health
| Facility | $661.95 | $1,071.49 | $1,410.61 | |
Moda Health
| Professional | $1,049.83 | $1,049.83 | $1,049.83 | |
Providence
| Facility | $661.95 | $1,071.49 | $1,410.61 | |
Providence
| Professional | $1,049.83 | $1,049.83 | $1,049.83 |