| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $150.63 | $252.13 | $302.08 | |
Moda Health
| Facility | $109.30 | $200.80 | $236.52 | |
Moda Health
| Professional | $205.33 | $205.33 | $205.33 | |
Providence
| Facility | $109.30 | $200.80 | $236.52 | |
Providence
| Professional | $205.33 | $205.33 | $205.33 |