| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.76 | $673.26 | $807.30 | |
Cigna
| Facility | $386.22 | $386.22 | $386.22 | |
Moda Health
| Professional | $460.75 | $460.75 | $460.75 | |
Providence
| Facility | $386.22 | $386.22 | $386.22 |