| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $85.11 | |
Moda Health
| Facility | $66.07 | $100.00 | $186.21 | |
Moda Health
| Professional | $173.78 | $173.78 | $173.78 | |
Providence
| Facility | $61.66 | $95.50 | $186.21 | |
Providence
| Professional | $173.78 | $173.78 | $173.78 |