| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $233.62 | $248.31 | $248.31 | |
Cigna
| Facility | $176.58 | $176.58 | $176.58 | |
Cigna
| Professional | $176.58 | $225.62 | $244.34 | |
Moda Health
| Facility | $85.45 | $85.45 | $85.45 | |
Moda Health
| Professional | $275.37 | $275.37 | $434.79 | |
Providence
| Facility | $85.45 | $85.45 | $176.58 | |
Providence
| Professional | $176.58 | $225.62 | $264.80 | |
United
| Professional | $140.10 | $277.17 | $361.53 |