| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.15 | $37.15 | $46.77 | |
Moda Health
| Facility | $16.22 | $29.51 | $70.79 | |
Moda Health
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
Providence
| Facility | $16.22 | $29.51 | $70.79 | |
Providence
| Professional | $2,454.71 | $2,454.71 | $2,454.71 |