| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.71 | $173.71 | $208.13 | |
Lucent Health
| Facility | $228.21 | $677.49 | $677.49 | |
Lucent Health
| Professional | $710.30 | $710.30 | $1,069.73 | |
Moda Health
| Facility | $107.40 | $245.39 | $902.50 | |
Moda Health
| Professional | $142.63 | $142.63 | $142.63 | |
Oscar Health
| Professional | $128.37 | $171.16 | $285.26 | |
Providence
| Facility | $142.63 | $198.26 | $198.26 | |
Providence
| Professional | $150.47 | $178.29 | $205.39 |