| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Moda Health
| Facility | $8.01 | $11.40 | $21.98 | |
Moda Health
| Professional | $1,204.50 | $1,204.50 | $1,204.50 | |
Providence
| Facility | $8.01 | $10.38 | $17.91 | |
Providence
| Professional | $1,204.50 | $1,204.50 | $1,204.50 |