| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.51 | $343.51 | $343.51 | |
Cigna
| Facility | $344.22 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $344.22 | $354.55 | |
Moda Health
| Facility | $161.51 | $161.51 | $161.51 | |
Moda Health
| Professional | $372.67 | $586.15 | $588.41 | |
Providence
| Facility | $161.51 | $161.51 | $344.22 | |
Providence
| Professional | $251.28 | $344.22 | $506.47 | |
United
| Professional | $195.71 | $195.71 | $375.11 |