| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $10.74 | $10.74 | $13.42 | |
Moda Health
| Facility | $4.72 | $6.73 | $20.00 | |
Moda Health
| Professional | $710.29 | $710.29 | $710.29 | |
Providence
| Facility | $4.72 | $6.12 | $12.97 | |
Providence
| Professional | $710.29 | $710.29 | $710.29 |