| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,011.23 | $1,011.23 | $1,011.23 | |
Cigna
| Facility | $782.41 | $782.41 | $782.41 | |
Cigna
| Professional | $571.16 | $782.41 | $805.88 | |
Moda Health
| Facility | $347.99 | $347.99 | $347.99 | |
Moda Health
| Professional | $1,121.45 | $1,121.45 | $1,770.71 | |
Providence
| Facility | $347.99 | $347.99 | $782.41 | |
Providence
| Professional | $571.16 | $805.88 | $1,163.83 | |
United
| Professional | $570.54 | $883.39 | $1,472.31 |