| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.97 | $123.39 | $123.39 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $27.00 | $83.71 | $89.24 | |
Moda Health
| Facility | $75.00 | $75.00 | $75.00 | |
Moda Health
| Professional | $136.84 | $142.19 | $216.06 | |
Providence
| Facility | $75.00 | $75.00 | $83.71 | |
Providence
| Professional | $38.19 | $83.71 | $142.46 | |
United
| Facility | $65.33 | $76.31 | $76.31 | |
United
| Professional | $69.62 | $137.74 | $179.66 |