| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.70 | $275.70 | $275.70 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $192.64 | $192.64 | |
Moda Health
| Facility | $260.31 | $275.70 | $275.70 | |
Providence
| Facility | $260.31 | $275.70 | $275.70 | |
Providence
| Professional | $192.64 | $192.64 | $192.64 |