| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $691.65 | $691.65 | $691.65 | |
Cigna
| Facility | $419.04 | $419.04 | $419.04 | |
Cigna
| Professional | $305.89 | $419.04 | $446.71 | |
Moda Health
| Facility | $179.74 | $179.74 | $179.74 | |
Moda Health
| Professional | $633.77 | $767.03 | $1,211.09 | |
Providence
| Facility | $179.74 | $179.74 | $419.04 | |
Providence
| Professional | $305.89 | $446.71 | $708.23 | |
United
| Professional | $390.23 | $772.04 | $1,007.01 |