| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $611.79 | $611.79 | $611.79 | |
Cigna
| Facility | $427.13 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $427.13 | $439.94 | |
Moda Health
| Facility | $194.53 | $194.53 | $194.53 | |
Moda Health
| Professional | $574.88 | $663.73 | $1,047.99 | |
Providence
| Facility | $194.53 | $194.53 | $427.13 | |
Providence
| Professional | $311.80 | $439.94 | $645.30 | |
United
| Professional | $337.69 | $348.56 | $668.07 |