| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $898.42 | $898.42 | $898.42 | |
Cigna
| Facility | $695.41 | $695.41 | $695.41 | |
Cigna
| Professional | $507.65 | $695.41 | $741.34 | |
Moda Health
| Facility | $309.16 | $309.16 | $309.16 | |
Moda Health
| Professional | $996.33 | $996.33 | $1,573.16 | |
Providence
| Facility | $309.16 | $309.16 | $695.41 | |
Providence
| Professional | $507.65 | $741.34 | $1,033.99 | |
United
| Professional | $506.90 | $1,002.85 | $1,308.06 |