| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $831.76 | $831.76 | $1,000.00 | |
Moda Health
| Facility | $302.00 | $389.05 | $478.63 | |
Moda Health
| Professional | $457.09 | $457.09 | $457.09 | |
Providence
| Facility | $302.00 | $389.05 | $489.78 | |
Providence
| Professional | $457.09 | $457.09 | $457.09 |