| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $35.48 | $35.48 | $42.66 | |
Moda Health
| Facility | $30.20 | $45.71 | $91.20 | |
Moda Health
| Professional | $85.11 | $85.11 | $85.11 | |
Providence
| Facility | $29.51 | $45.71 | $91.20 | |
Providence
| Professional | $85.11 | $85.11 | $85.11 |