| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,862.09 | $1,862.09 | $2,238.72 | |
Moda Health
| Facility | $602.56 | $812.83 | $1,202.26 | |
Moda Health
| Professional | $1,047.13 | $1,047.13 | $1,047.13 | |
Providence
| Facility | $602.56 | $812.83 | $1,202.26 | |
Providence
| Professional | $1,047.13 | $1,047.13 | $1,047.13 |