| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.26 | $27.26 | $34.08 | |
Lucent Health
| Facility | $58.44 | $90.00 | $90.00 | |
Moda Health
| Facility | $15.26 | $20.39 | $31.98 | |
Providence
| Facility | $15.33 | $18.78 | $31.98 | |
Providence
| Professional | $25.88 | $25.88 | $25.88 |