| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $276.33 | $331.08 | $2,340.39 | |
Moda Health
| Facility | $147.56 | $886.96 | $1,381.00 | |
Moda Health
| Professional | $152.79 | $152.79 | $152.79 | |
Providence
| Facility | $147.56 | $886.96 | $1,381.00 | |
Providence
| Professional | $152.79 | $152.79 | $152.79 |