| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.40 | $247.40 | $247.40 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $170.83 | $175.95 | |
Moda Health
| Facility | $243.71 | $247.40 | $258.39 | |
Providence
| Facility | $221.94 | $247.40 | $258.39 | |
Providence
| Professional | $145.21 | $170.83 | $175.95 |