| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $206.70 | $206.70 | $247.65 | |
Lucent Health
| Facility | $237.86 | $255.48 | $306.57 | |
Lucent Health
| Professional | $616.66 | $616.66 | $616.66 | |
Moda Health
| Professional | $176.19 | $176.19 | $176.19 | |
Providence
| Facility | $244.90 | $244.90 | $244.90 | |
Providence
| Professional | $185.00 | $202.62 | $246.67 |