| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $479.40 | $1,248.86 | $1,648.50 | |
Cigna
| Facility | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $661.77 | $906.54 | $966.42 | |
Moda Health
| Facility | $406.89 | $406.89 | $406.89 | |
Moda Health
| Professional | $1,255.67 | $1,384.99 | $2,186.82 | |
Providence
| Facility | $406.89 | $406.89 | $906.54 | |
Providence
| Professional | $661.77 | $966.42 | $1,548.94 | |
United
| Professional | $704.63 | $1,394.03 | $1,818.30 |