| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.63 | $78.63 | $78.63 | |
Cigna
| Professional | $80.53 | $83.69 | $83.69 | |
Moda Health
| Facility | $80.53 | $80.53 | $80.53 | |
Providence
| Facility | $80.53 | $80.53 | $80.53 | |
Providence
| Professional | $80.53 | $83.69 | $83.69 | |
United
| Professional | $132.63 | $142.11 | $284.22 |