| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.80 | $31.80 | $39.75 | |
Moda Health
| Facility | $13.91 | $19.80 | $60.66 | |
Moda Health
| Professional | $2,092.17 | $2,092.17 | $2,092.17 | |
Providence
| Facility | $13.91 | $17.64 | $38.18 | |
Providence
| Professional | $2,092.17 | $2,092.17 | $2,092.17 |