| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,328.64 | $1,328.64 | $1,328.64 | |
Cigna
| Facility | $1,115.23 | $1,115.23 | $1,115.23 | |
Cigna
| Professional | $814.12 | $1,115.23 | $1,188.90 | |
Moda Health
| Facility | $457.21 | $457.21 | $457.21 | |
Moda Health
| Professional | $1,473.45 | $1,473.45 | $2,326.50 | |
Providence
| Facility | $457.21 | $457.21 | $1,115.23 | |
Providence
| Professional | $814.12 | $1,188.90 | $1,817.58 | |
United
| Professional | $749.63 | $1,483.07 | $1,934.45 |