| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.17 | $37.17 | $46.46 | |
Moda Health
| Facility | $16.28 | $29.78 | $100.00 | |
Moda Health
| Professional | $2,448.42 | $2,448.42 | $2,448.42 | |
Providence
| Facility | $16.28 | $20.64 | $44.67 | |
Providence
| Professional | $2,448.42 | $2,448.42 | $2,448.42 |