| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $71.09 | $71.09 | $85.18 | |
Moda Health
| Facility | $57.08 | $113.60 | $207.40 | |
Moda Health
| Professional | $172.05 | $172.05 | $172.05 | |
Providence
| Facility | $62.36 | $119.19 | $207.40 | |
Providence
| Professional | $172.05 | $172.05 | $172.05 |