| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $379.66 | $379.66 | $379.66 | |
Cigna
| Facility | $366.26 | $366.26 | $366.26 | |
Cigna
| Professional | $267.37 | $366.26 | $390.45 | |
Moda Health
| Facility | $140.55 | $140.55 | $140.55 | |
Moda Health
| Professional | $411.88 | $552.78 | $650.34 | |
Providence
| Facility | $140.55 | $140.55 | $366.26 | |
Providence
| Professional | $267.37 | $390.45 | $521.58 | |
United
| Professional | $216.30 | $216.30 | $414.58 |