| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.97 | $238.97 | $844.83 | |
Aetna
| Professional | $148.40 | $241.38 | $241.38 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Moda Health
| Facility | $345.17 | $345.17 | $345.17 | |
Providence
| Facility | $250.32 | $345.17 | $590.04 | |
Providence
| Professional | $151.97 | $151.97 | $151.97 |