| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
Moda Health
| Facility | $9.32 | $17.04 | $67.40 | |
Moda Health
| Professional | $1,400.87 | $1,400.87 | $1,400.87 | |
Providence
| Facility | $9.32 | $11.80 | $25.56 | |
Providence
| Professional | $1,400.87 | $1,400.87 | $1,400.87 |