| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Moda Health
| Facility | $12.60 | $16.72 | $80.00 | |
Moda Health
| Professional | $1,241.00 | $1,241.00 | $1,241.00 | |
Providence
| Facility | $12.60 | $16.32 | $26.00 | |
Providence
| Professional | $1,241.00 | $1,241.00 | $1,241.00 |