| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6,513.59 | $6,513.59 | $7,804.02 | |
Moda Health
| Facility | $2,638.69 | $3,804.35 | $5,226.85 | |
Moda Health
| Professional | $3,775.04 | $3,775.04 | $3,775.04 | |
Providence
| Facility | $2,638.69 | $3,804.35 | $5,226.85 | |
Providence
| Professional | $3,775.04 | $3,775.04 | $3,775.04 |