| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $438.50 | $438.50 | $438.50 | |
Cigna
| Facility | $589.44 | $589.44 | $589.44 | |
Cigna
| Professional | $430.29 | $589.44 | $628.37 | |
Moda Health
| Facility | $254.51 | $254.51 | $254.51 | |
Moda Health
| Professional | $475.72 | $750.70 | $751.14 | |
Providence
| Facility | $254.51 | $254.51 | $589.44 | |
Providence
| Professional | $430.29 | $589.44 | $752.13 | |
United
| Professional | $242.03 | $249.82 | $478.83 |