| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2.69 | $2.69 | $2.69 | |
Moda Health
| Facility | $0.30 | $0.30 | $0.50 | |
Moda Health
| Professional | $60.26 | $60.26 | $60.26 | |
Providence
| Facility | $0.30 | $0.30 | $0.50 | |
Providence
| Professional | $0.58 | $0.58 | $60.26 |