| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $55.00 | $5,204.25 | |
Lucent Health
| Professional | $8,781.00 | $8,781.00 | $8,781.00 | |
Moda Health
| Facility | $1,488.80 | $1,874.03 | $3,601.59 | |
Oscar Health
| Professional | $1,882.60 | $1,882.60 | $1,882.60 | |
Providence
| Facility | $1,488.80 | $1,874.03 | $3,601.59 |