| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $733.34 | $733.34 | $733.34 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $564.36 | $581.29 | |
Moda Health
| Facility | $215.25 | $215.25 | $215.25 | |
Moda Health
| Professional | $680.62 | $795.59 | $1,256.19 | |
Providence
| Facility | $215.25 | $215.25 | $564.36 | |
Providence
| Professional | $411.98 | $581.29 | $839.58 | |
United
| Professional | $417.80 | $417.80 | $800.79 |