| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.73 | |
Moda Health
| Facility | $38.00 | $58.50 | $69.34 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
Providence
| Facility | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
Providence
| Professional | $1,950,000.00 | $2,250,000.00 | $2,550,000.00 |