| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $54.95 | $56.23 | $4,365.16 | |
Lucent Health
| Professional | $7,079.46 | $7,079.46 | $7,079.46 | |
Moda Health
| Facility | $1,122.02 | $1,445.44 | $2,137.96 | |
Providence
| Facility | $1,122.02 | $1,479.11 | $2,137.96 |