| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $826.28 | $826.28 | $989.98 | |
Moda Health
| Facility | $346.88 | $473.91 | $581.28 | |
Moda Health
| Professional | $453.72 | $453.72 | $453.72 | |
Providence
| Facility | $346.88 | $473.91 | $581.28 | |
Providence
| Professional | $453.72 | $453.72 | $453.72 |