| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $880.02 | $880.02 | $880.02 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $528.74 | $563.66 | |
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 | $528.74 | |
Providence
| Professional | $385.98 | $563.66 | $1,007.53 | |
United
| Professional | $485.72 | $501.37 | $960.95 |