| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.84 | $132.94 | $132.94 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $88.85 | $94.72 | |
Moda Health
| Facility | $45.29 | $45.29 | $45.29 | |
Moda Health
| Professional | $146.00 | $147.43 | $232.79 | |
Providence
| Facility | $45.29 | $45.29 | $88.85 | |
Providence
| Professional | $64.86 | $94.72 | $151.44 | |
United
| Professional | $75.01 | $148.40 | $193.56 |