| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $460.48 | $477.75 | $777.06 | |
Cigna
| Professional | $508.43 | $508.43 | $508.43 | |
Moda Health
| Facility | $489.26 | $777.06 | $1,111.20 | |
Providence
| Facility | $477.75 | $777.06 | $1,111.20 | |
Providence
| Professional | $508.43 | $508.43 | $1,800,000.00 | |
United
| Professional | $610.14 | $863.40 | $1,640.46 |