| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.88 | $385.88 | $385.88 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $181.86 | $187.32 | |
Moda Health
| Facility | $93.74 | $93.74 | $93.74 | |
Moda Health
| Professional | $343.25 | $427.94 | $675.69 | |
Providence
| Facility | $93.74 | $93.74 | $181.86 | |
Providence
| Professional | $132.76 | $187.32 | $423.42 | |
United
| Facility | $143.90 | $189.98 | $189.98 | |
United
| Professional | $217.71 | $430.72 | $561.80 |