| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $777.26 | $826.13 | $826.13 | |
Cigna
| Facility | $551.53 | $551.53 | $551.53 | |
Cigna
| Professional | $402.62 | $551.53 | $568.08 | |
Moda Health
| Facility | $284.27 | $284.27 | $284.27 | |
Moda Health
| Professional | $916.17 | $916.17 | $1,446.59 | |
Providence
| Facility | $284.27 | $284.27 | $551.53 | |
Providence
| Professional | $402.62 | $568.08 | $1,130.15 | |
United
| Professional | $466.11 | $922.15 | $1,202.81 |