| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Moda Health
| Facility | $7.87 | $14.41 | $80.00 | |
Moda Health
| Professional | $1,184.06 | $1,184.06 | $1,184.06 | |
Providence
| Facility | $7.87 | $10.19 | $26.00 | |
Providence
| Professional | $1,184.06 | $1,184.06 | $1,184.06 |