| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.81 | $446.86 | $771.90 | |
Aetna
| Professional | $36.17 | $46.12 | $149.85 | |
Cigna
| Facility | $97.03 | $97.03 | $97.03 | |
Cigna
| Professional | $21.78 | $47.08 | $58.85 | |
Moda Health
| Facility | $25.58 | $25.58 | $25.58 | |
Moda Health
| Professional | $43.56 | $62.23 | $199.50 | |
Providence
| Facility | $25.58 | $25.58 | $25.58 | |
Providence
| Professional | $34.90 | $36.75 | $43.56 | |
United
| Professional | $19.98 | $105.72 | $159.49 |