| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,747.96 | $1,747.96 | $1,747.96 | |
Cigna
| Facility | $1,108.41 | $1,108.41 | $1,108.41 | |
Cigna
| Professional | $809.14 | $1,108.41 | $1,181.61 | |
Moda Health
| Facility | $562.66 | $562.66 | $562.66 | |
Moda Health
| Professional | $1,815.42 | $1,938.48 | $3,060.75 | |
Providence
| Facility | $562.66 | $562.66 | $1,108.41 | |
Providence
| Professional | $809.14 | $1,181.61 | $2,121.61 | |
United
| Professional | $986.22 | $1,951.14 | $2,544.96 |