| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.02 | $38.02 | $47.86 | |
Moda Health
| Facility | $60.26 | $60.26 | $60.26 | |
Moda Health
| Professional | $25.12 | $25.12 | $25.12 | |
Providence
| Facility | $60.26 | $60.26 | $60.26 | |
Providence
| Professional | $70.79 | $79.43 | $79.43 |