| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $47.08 | $47.08 | $58.85 | |
Moda Health
| Facility | $20.63 | $29.36 | $67.40 | |
Moda Health
| Professional | $3,103.23 | $3,103.23 | $3,103.23 | |
Providence
| Facility | $20.63 | $26.73 | $56.62 | |
Providence
| Professional | $3,103.23 | $3,103.23 | $3,103.23 |