| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $11.15 | $11.15 | $13.94 | |
Moda Health
| Facility | $4.88 | $8.93 | $40.44 | |
Moda Health
| Professional | $733.65 | $733.65 | $733.65 | |
Providence
| Facility | $4.88 | $6.18 | $13.39 | |
Providence
| Professional | $733.65 | $733.65 | $733.65 |