| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.61 | $25.61 | $32.01 | |
Lucent Health
| Facility | $63.06 | $90.00 | $90.00 | |
Moda Health
| Facility | $14.44 | $17.78 | $30.46 | |
Providence
| Facility | $14.51 | $17.78 | $30.46 | |
Providence
| Professional | $24.50 | $24.50 | $24.50 |