| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $152.41 | $2,268.58 | $12,103.56 | |
Lucent Health
| Professional | $32,026.29 | $32,026.29 | $32,026.29 | |
Moda Health
| Facility | $63.40 | $85.96 | $5,080.92 | |
Moda Health
| Professional | $66.12 | $66.12 | $68.47 | |
Providence
| Facility | $64.84 | $76.53 | $132.18 | |
Providence
| Professional | $68.47 | $89.05 | $124.85 | |
United
| Professional | $56.03 | $77.51 | $118.00 | |
Wellpoint
| Professional | $66.12 | $77.34 | $93.12 |