| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $805.07 | $805.07 | $805.07 | |
Cigna
| Facility | $335.34 | $335.34 | $335.34 | |
Cigna
| Professional | $244.80 | $335.34 | $345.40 | |
Moda Health
| Facility | $172.85 | $172.85 | $172.85 | |
Moda Health
| Professional | $517.08 | $892.82 | $1,409.72 | |
Providence
| Facility | $172.85 | $172.85 | $335.34 | |
Providence
| Professional | $244.80 | $345.40 | $637.84 | |
United
| Professional | $454.24 | $898.66 | $1,172.16 |