| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,055.25 | $1,055.25 | $1,055.25 | |
Cigna
| Facility | $512.80 | $512.80 | $512.80 | |
Cigna
| Professional | $374.35 | $512.80 | $528.19 | |
Moda Health
| Facility | $231.33 | $231.33 | $231.33 | |
Moda Health
| Professional | $727.47 | $1,170.27 | $1,847.79 | |
Providence
| Facility | $231.33 | $231.33 | $512.80 | |
Providence
| Professional | $374.35 | $528.19 | $897.37 | |
United
| Professional | $595.39 | $614.55 | $1,536.41 |