| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $35.25 | $35.25 | $42.23 | |
Moda Health
| Facility | $29.38 | $56.56 | $102.00 | |
Moda Health
| Professional | $85.20 | $85.20 | $85.20 | |
Providence
| Facility | $30.18 | $56.56 | $102.00 | |
Providence
| Professional | $85.20 | $85.20 | $85.20 |