| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,307.21 | $1,307.21 | $1,566.19 | |
Lucent Health
| Facility | $1,041.14 | $3,015.54 | $3,015.54 | |
Lucent Health
| Professional | $4,554.97 | $4,961.58 | $4,961.58 | |
Moda Health
| Professional | $59,999.40 | $59,999.40 | $59,999.40 |