| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.41 | $19.41 | $24.26 | |
Moda Health
| Facility | $8.52 | $15.58 | $62.00 | |
Moda Health
| Professional | $1,281.15 | $1,281.15 | $1,281.15 | |
Providence
| Facility | $8.52 | $11.04 | $23.37 | |
Providence
| Professional | $1,281.15 | $1,281.15 | $1,281.15 |