| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,307.90 | $2,307.90 | $2,765.13 | |
Moda Health
| Facility | $126.96 | $1,379.14 | $1,984.50 | |
Moda Health
| Professional | $1,692.43 | $1,692.43 | $1,692.43 | |
Providence
| Facility | $126.96 | $1,379.14 | $1,984.50 | |
Providence
| Professional | $1,692.43 | $1,692.43 | $1,692.43 |