| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6,898.83 | $6,898.83 | $8,265.57 | |
Moda Health
| Facility | $2,699.96 | $4,012.47 | $5,530.46 | |
Moda Health
| Professional | $3,990.30 | $3,990.30 | $3,990.30 | |
Providence
| Facility | $2,699.96 | $4,012.47 | $5,530.46 | |
Providence
| Professional | $3,990.30 | $3,990.30 | $3,990.30 |