| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $580.03 | $903.89 | $949.08 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $702.03 | $748.40 | |
Moda Health
| Facility | $311.04 | $311.04 | $311.04 | |
Moda Health
| Professional | $1,002.40 | $1,002.40 | $1,582.74 | |
Providence
| Facility | $311.04 | $311.04 | $702.03 | |
Providence
| Professional | $512.48 | $748.40 | $1,040.29 | |
United
| Professional | $509.99 | $1,008.96 | $1,316.04 |