| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Moda Health
| Facility | $11.44 | $21.91 | $67.40 | |
Moda Health
| Professional | $1,911.87 | $1,911.87 | $1,911.87 | |
Providence
| Facility | $11.44 | $16.47 | $34.86 | |
Providence
| Professional | $1,911.87 | $1,911.87 | $1,911.87 |