| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,582.72 | $1,582.72 | $1,582.72 | |
Cigna
| Facility | $1,025.33 | $1,025.33 | $1,025.33 | |
Cigna
| Professional | $748.49 | $1,025.33 | $1,093.05 | |
Moda Health
| Facility | $516.66 | $516.66 | $516.66 | |
Moda Health
| Professional | $1,755.22 | $1,781.29 | $2,771.40 | |
Providence
| Facility | $516.66 | $516.66 | $1,025.33 | |
Providence
| Professional | $748.49 | $1,093.05 | $1,897.38 | |
United
| Professional | $892.99 | $1,382.63 | $2,304.38 |