| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $223.87 | $295.12 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
Moda Health
| Facility | $223.87 | $223.87 | $323.59 | |
Moda Health
| Professional | $60.26 | $223.87 | $870.96 | |
Providence
| Facility | $223.87 | $309.03 | $323.59 | |
Providence
| Professional | $60.26 | $60.26 | $239.88 |