| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.86 | $33.86 | $42.33 | |
Moda Health
| Facility | $14.77 | $27.01 | $94.00 | |
Moda Health
| Professional | $2,221.39 | $2,221.39 | $2,221.39 | |
Providence
| Facility | $14.77 | $19.13 | $40.51 | |
Providence
| Professional | $2,221.39 | $2,221.39 | $2,221.39 |