| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.98 | $16.98 | $21.38 | |
Moda Health
| Facility | $7.41 | $13.18 | $32.36 | |
Moda Health
| Professional | $1,122.02 | $1,122.02 | $1,122.02 | |
Providence
| Facility | $7.41 | $13.18 | $32.36 | |
Providence
| Professional | $1,122.02 | $1,122.02 | $1,122.02 |