| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.36 | $32.36 | $40.74 | |
Moda Health
| Facility | $14.13 | $25.70 | $63.10 | |
Moda Health
| Professional | $2,137.96 | $2,137.96 | $2,137.96 | |
Providence
| Facility | $14.13 | $25.70 | $63.10 | |
Providence
| Professional | $2,137.96 | $2,137.96 | $2,137.96 |