| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.88 | $288.88 | $288.88 | |
Cigna
| Facility | $192.91 | $192.91 | $192.91 | |
Cigna
| Professional | $140.82 | $192.91 | $205.65 | |
Moda Health
| Facility | $99.43 | $99.43 | $99.43 | |
Moda Health
| Professional | $320.37 | $320.37 | $505.85 | |
Providence
| Facility | $99.43 | $99.43 | $192.91 | |
Providence
| Professional | $140.82 | $205.65 | $395.20 | |
United
| Professional | $162.99 | $322.45 | $420.60 |