| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $490.44 | $490.44 | $490.44 | |
Cigna
| Facility | $295.70 | $295.70 | $295.70 | |
Cigna
| Professional | $215.87 | $295.70 | $304.58 | |
Moda Health
| Facility | $135.56 | $135.56 | $135.56 | |
Moda Health
| Professional | $504.93 | $543.89 | $858.78 | |
Providence
| Facility | $135.56 | $135.56 | $295.70 | |
Providence
| Professional | $215.87 | $304.58 | $534.16 | |
United
| Facility | $208.12 | $238.12 | $238.12 | |
United
| Professional | $276.70 | $547.45 | $714.06 |