| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $54.95 | $56.23 | $2,344.23 | |
Lucent Health
| Professional | $4,168.69 | $4,168.69 | $4,570.88 | |
Molina
| Professional | $32.36 | $33.11 | $309.03 | |
Providence
| Facility | $977.24 | $977.24 | $977.24 | |
Providence
| Professional | $630.96 | $691.83 | $1,174.90 | |
United
| Professional | $331.13 | $446.68 | $691.83 |