| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,054.16 | $1,054.16 | $1,054.16 | |
Cigna
| Facility | $741.89 | $741.89 | $741.89 | |
Cigna
| Professional | $541.58 | $741.89 | $790.90 | |
Moda Health
| Facility | $362.74 | $362.74 | $362.74 | |
Moda Health
| Professional | $1,169.05 | $1,169.05 | $1,845.87 | |
Providence
| Facility | $362.74 | $362.74 | $741.89 | |
Providence
| Professional | $541.58 | $790.90 | $1,442.09 | |
United
| Professional | $594.76 | $1,176.68 | $1,534.80 |