| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $55.00 | $2,047.50 | |
Lucent Health
| Professional | $1,200.29 | $1,434.72 | $1,434.72 | |
Moda Health
| Facility | $264.83 | $345.64 | $541.60 | |
Providence
| Facility | $267.80 | $349.81 | $547.95 |