| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $91.20 | $467.74 | $660.69 | |
Moda Health
| Professional | $562.34 | $562.34 | $562.34 | |
Providence
| Facility | $91.20 | $467.74 | $575.44 | |
Providence
| Professional | $562.34 | $562.34 | $562.34 |