| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.59 | $7.59 | $7.59 | |
Moda Health
| Facility | $0.02 | $0.02 | $0.02 | |
Moda Health
| Professional | $60.26 | $60.26 | $79.43 | |
Providence
| Facility | $0.02 | $0.02 | $0.02 | |
Providence
| Professional | $0.52 | $60.26 | $79.43 |