| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,015.49 | $1,216.68 | $2,265.37 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Moda Health
| Facility | $387.22 | $736.73 | $1,164.24 | |
Moda Health
| Professional | $576.88 | $576.88 | $576.88 | |
Providence
| Facility | $387.22 | $732.76 | $1,164.24 | |
Providence
| Professional | $576.88 | $576.88 | $576.88 |