| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $10.72 | $10.72 | $13.49 | |
Moda Health
| Facility | $4.68 | $6.76 | $19.95 | |
Moda Health
| Professional | $707.95 | $707.95 | $707.95 | |
Providence
| Facility | $4.68 | $6.76 | $19.95 | |
Providence
| Professional | $707.95 | $707.95 | $707.95 |