| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $26.30 | $26.30 | $33.11 | |
Moda Health
| Facility | $11.48 | $20.89 | $51.29 | |
Moda Health
| Professional | $1,737.80 | $1,737.80 | $1,737.80 | |
Providence
| Facility | $11.48 | $20.89 | $51.29 | |
Providence
| Professional | $1,737.80 | $1,737.80 | $1,737.80 |