| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,256.53 | $2,256.53 | $2,256.53 | |
Cigna
| Facility | $1,327.28 | $1,327.28 | $1,327.28 | |
Cigna
| Professional | $968.91 | $1,327.28 | $1,414.94 | |
Moda Health
| Facility | $684.12 | $684.12 | $684.12 | |
Moda Health
| Professional | $2,017.91 | $2,502.46 | $3,951.27 | |
Providence
| Facility | $684.12 | $684.12 | $1,327.28 | |
Providence
| Professional | $968.91 | $1,414.94 | $2,411.13 | |
United
| Professional | $1,273.16 | $2,518.81 | $3,285.41 |