| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $307.17 | $514.16 | $616.03 | |
Moda Health
| Facility | $43.14 | $334.80 | $408.44 | |
Moda Health
| Professional | $370.39 | $370.39 | $370.39 | |
Providence
| Facility | $43.14 | $353.05 | $408.44 | |
Providence
| Professional | $370.39 | $370.39 | $370.39 |