| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
Lucent Health
| Facility | $61.52 | $90.00 | $90.00 | |
Moda Health
| Facility | $11.80 | $16.02 | $25.38 | |
Providence
| Facility | $11.80 | $14.79 | $25.38 | |
Providence
| Professional | $20.37 | $20.37 | $20.37 |