| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6,606.93 | $6,606.93 | $7,943.28 | |
Moda Health
| Facility | $2,344.23 | $2,884.03 | $4,073.80 | |
Moda Health
| Professional | $3,548.13 | $3,548.13 | $3,548.13 | |
Providence
| Facility | $2,137.96 | $2,884.03 | $4,073.80 | |
Providence
| Professional | $3,548.13 | $3,548.13 | $3,548.13 |