| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.37 | $30.46 | |
Lucent Health
| Facility | $51.79 | $90.00 | $90.00 | |
Moda Health
| Facility | $13.74 | $18.35 | $28.93 | |
Providence
| Facility | $13.81 | $16.91 | $28.93 | |
Providence
| Professional | $23.32 | $23.32 | $23.32 |