| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $560.12 | $560.12 | $739.35 | |
Cigna
| Facility | $297.02 | $297.02 | $297.02 | |
Cigna
| Professional | $216.82 | $297.02 | $316.64 | |
Moda Health
| Facility | $146.71 | $146.71 | $146.71 | |
Moda Health
| Professional | $516.55 | $621.16 | $980.78 | |
Providence
| Facility | $146.71 | $146.71 | $297.02 | |
Providence
| Professional | $216.82 | $316.64 | $578.11 | |
United
| Professional | $316.02 | $625.22 | $815.51 |