| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $960.89 | $1,497.40 | $1,976.56 | |
Cigna
| Facility | $1,162.20 | $1,162.20 | $1,162.20 | |
Cigna
| Professional | $848.41 | $1,162.20 | $1,238.96 | |
Moda Health
| Facility | $515.29 | $515.29 | $515.29 | |
Moda Health
| Professional | $1,660.61 | $1,660.61 | $2,622.02 | |
Providence
| Facility | $515.29 | $515.29 | $1,162.20 | |
Providence
| Professional | $848.41 | $1,238.96 | $1,723.34 | |
United
| Professional | $844.85 | $1,671.46 | $2,180.16 |