| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $880.02 | $880.02 | $880.02 | |
Cigna
| Facility | $501.15 | $501.15 | $501.15 | |
Cigna
| Professional | $365.84 | $501.15 | $587.67 | |
Moda Health
| Facility | $258.31 | $258.31 | $258.31 | |
Moda Health
| Professional | $816.77 | $954.71 | $1,507.44 | |
Providence
| Facility | $258.31 | $258.31 | $501.15 | |
Providence
| Professional | $365.84 | $587.67 | $903.12 | |
United
| Professional | $485.72 | $501.37 | $960.95 |