| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.58 | $421.99 | $557.02 | |
Cigna
| Facility | $216.42 | $216.42 | $216.42 | |
Cigna
| Professional | $157.99 | $216.42 | $230.72 | |
Moda Health
| Facility | $99.68 | $99.68 | $99.68 | |
Moda Health
| Professional | $308.97 | $467.99 | $738.93 | |
Providence
| Facility | $99.68 | $99.68 | $216.42 | |
Providence
| Professional | $157.99 | $230.72 | $381.13 | |
United
| Facility | $153.02 | $164.30 | $164.30 | |
United
| Professional | $238.09 | $471.04 | $614.40 |