| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.86 | $182.86 | $182.86 | |
Cigna
| Professional | $179.84 | $179.84 | $179.84 | |
Moda Health
| Facility | $97.20 | $182.86 | $256.00 | |
Providence
| Facility | $97.20 | $182.86 | $256.00 | |
Providence
| Professional | $179.84 | $179.84 | $179.84 |