| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,138.27 | $2,138.27 | $2,138.27 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,030.36 | |
Cigna
| Professional | $752.17 | $752.17 | $752.17 | |
Moda Health
| Facility | $514.15 | $514.15 | $514.15 | |
Moda Health
| Professional | $1,539.21 | $2,371.31 | $3,744.18 | |
Providence
| Facility | $514.15 | $514.15 | $1,030.36 | |
Providence
| Professional | $752.17 | $1,201.65 | $2,025.95 | |
United
| Professional | $1,206.43 | $2,386.80 | $3,113.22 |