| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $676.08 | $676.08 | $812.83 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Cigna
| Professional | $457.09 | $537.03 | $549.54 | |
Moda Health
| Facility | $537.03 | $676.08 | $758.58 | |
Moda Health
| Professional | $60.26 | $676.08 | $1,148.15 | |
Providence
| Facility | $537.03 | $676.08 | $758.58 | |
Providence
| Professional | $60.26 | $457.09 | $549.54 |