| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $54.95 | $56.23 | $7,244.36 | |
Lucent Health
| Professional | $8,128.31 | $8,128.31 | $8,128.31 | |
Moda Health
| Facility | $363.08 | $1,698.24 | $3,162.28 | |
Providence
| Facility | $363.08 | $1,174.90 | $3,162.28 |