| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,381.03 | $2,381.03 | $2,852.74 | |
Lucent Health
| Facility | $2,740.50 | $2,943.50 | $3,532.20 | |
Lucent Health
| Professional | $7,105.00 | $7,105.00 | $7,105.00 | |
Moda Health
| Professional | $2,030.00 | $2,030.00 | $2,030.00 | |
Providence
| Professional | $2,334.50 | $2,334.50 | $2,537.50 |