| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Lucent Health
| Facility | $69.20 | $90.00 | $90.00 | |
Moda Health
| Facility | $16.39 | $20.22 | $34.52 | |
Providence
| Facility | $16.47 | $20.18 | $34.52 | |
Providence
| Professional | $27.81 | $27.81 | $27.81 |