| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.22 | $458.48 | $605.19 | |
Cigna
| Facility | $336.03 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $245.30 | |
Moda Health
| Facility | $157.77 | $157.77 | $157.77 | |
Moda Health
| Professional | $508.44 | $508.44 | $802.80 | |
Providence
| Facility | $157.77 | $157.77 | $336.03 | |
Providence
| Professional | $245.30 | $396.95 | $627.19 | |
United
| Professional | $258.68 | $433.34 | $667.53 |