| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $114.18 | $114.18 | $142.72 | |
Moda Health
| Facility | $43.82 | $105.14 | $173.00 | |
Moda Health
| Professional | $154.29 | $154.29 | $154.29 | |
Providence
| Facility | $43.82 | $43.82 | $166.23 | |
Providence
| Professional | $154.29 | $154.29 | $154.29 |