| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $151.36 | $181.97 | $302.00 | |
Moda Health
| Facility | $85.11 | $147.91 | $208.93 | |
Moda Health
| Professional | $204.17 | $204.17 | $204.17 | |
Providence
| Facility | $79.43 | $134.90 | $208.93 | |
Providence
| Professional | $204.17 | $204.17 | $204.17 |