| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.51 | $44.51 | $53.33 | |
Moda Health
| Facility | $26.58 | $65.44 | $129.19 | |
Moda Health
| Professional | $105.57 | $105.57 | $105.57 | |
Providence
| Facility | $27.83 | $67.56 | $129.19 | |
Providence
| Professional | $105.57 | $105.57 | $105.57 |