| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.29 | $166.20 | $210.62 | |
Cigna
| Facility | $112.67 | $112.67 | $112.67 | |
Cigna
| Professional | $82.25 | $112.67 | $120.11 | |
Moda Health
| Facility | $58.07 | $58.07 | $58.07 | |
Moda Health
| Professional | $184.32 | $184.32 | $291.02 | |
Providence
| Facility | $58.07 | $58.07 | $112.67 | |
Providence
| Professional | $82.25 | $120.11 | $193.54 | |
United
| Professional | $93.78 | $185.53 | $242.00 |