| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.03 | $63.03 | $75.51 | |
Moda Health
| Facility | $58.72 | $111.35 | $182.75 | |
Moda Health
| Professional | $153.79 | $153.79 | $153.79 | |
Providence
| Facility | $61.81 | $111.55 | $182.75 | |
Providence
| Professional | $153.79 | $153.79 | $153.79 |