| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.47 | $40.47 | $50.59 | |
Moda Health
| Facility | $17.73 | $30.55 | $94.00 | |
Moda Health
| Professional | $2,668.88 | $2,668.88 | $2,668.88 | |
Providence
| Facility | $17.73 | $22.49 | $48.69 | |
Providence
| Professional | $2,668.88 | $2,668.88 | $2,668.88 |