| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,884.17 | $4,884.17 | $5,851.79 | |
Moda Health
| Facility | $1,878.49 | $2,662.94 | $3,321.98 | |
Moda Health
| Professional | $2,439.30 | $2,439.30 | $2,439.30 | |
Providence
| Facility | $1,878.49 | $2,662.94 | $3,321.98 | |
Providence
| Professional | $2,439.30 | $2,439.30 | $2,439.30 |