| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.08 | $28.08 | $35.11 | |
Lucent Health
| Facility | $61.52 | $90.00 | $90.00 | |
Moda Health
| Facility | $15.60 | $20.22 | $33.50 | |
Providence
| Facility | $15.60 | $19.54 | $33.50 | |
Providence
| Professional | $26.92 | $26.92 | $26.92 |