| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,357.19 | $1,357.19 | $1,357.19 | |
Cigna
| Facility | $886.63 | $886.63 | $886.63 | |
Cigna
| Professional | $647.24 | $886.63 | $945.19 | |
Moda Health
| Facility | $457.00 | $457.00 | $457.00 | |
Moda Health
| Professional | $1,472.41 | $1,472.41 | $2,324.85 | |
Providence
| Facility | $457.00 | $457.00 | $886.63 | |
Providence
| Professional | $647.24 | $945.19 | $1,531.09 | |
United
| Professional | $749.09 | $773.22 | $1,482.01 |