| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.93 | $16.93 | $21.17 | |
Moda Health
| Facility | $7.43 | $13.14 | $40.44 | |
Moda Health
| Professional | $1,116.90 | $1,116.90 | $1,116.90 | |
Providence
| Facility | $7.43 | $9.41 | $20.39 | |
Providence
| Professional | $1,116.90 | $1,116.90 | $1,116.90 |