| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
Moda Health
| Facility | $13.79 | $19.61 | $53.92 | |
Moda Health
| Professional | $2,073.19 | $2,073.19 | $2,073.19 | |
Providence
| Facility | $13.79 | $17.86 | $37.83 | |
Providence
| Professional | $2,073.19 | $2,073.19 | $2,073.19 |