| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $167.30 | $280.05 | $335.53 | |
Moda Health
| Facility | $43.18 | $305.64 | $414.86 | |
Moda Health
| Professional | $376.21 | $376.21 | $376.21 | |
Providence
| Facility | $43.18 | $313.70 | $414.86 | |
Providence
| Professional | $376.21 | $376.21 | $376.21 |