| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,290.87 | $2,290.87 | $2,754.23 | |
Moda Health
| Facility | $102.33 | $1,122.02 | $1,819.70 | |
Moda Health
| Professional | $1,698.24 | $1,698.24 | $1,698.24 | |
Providence
| Facility | $125.89 | $1,174.90 | $1,819.70 | |
Providence
| Professional | $1,698.24 | $1,698.24 | $1,698.24 |