| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,976.54 | $1,976.54 | $2,368.12 | |
Moda Health
| Facility | $977.68 | $1,206.92 | $1,615.17 | |
Moda Health
| Professional | $1,174.65 | $1,174.65 | $1,174.65 | |
Providence
| Facility | $977.68 | $1,206.92 | $1,615.17 | |
Providence
| Professional | $1,174.65 | $1,174.65 | $1,174.65 |