| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.26 | $27.26 | $34.07 | |
Moda Health
| Facility | $11.88 | $16.91 | $44.48 | |
Moda Health
| Professional | $1,787.04 | $1,787.04 | $1,787.04 | |
Providence
| Facility | $11.88 | $15.40 | $32.60 | |
Providence
| Professional | $1,787.04 | $1,787.04 | $1,787.04 |