| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $394.42 | $418.08 | $493.03 | |
Lucent Health
| Facility | $184.43 | $184.43 | $184.43 | |
Moda Health
| Facility | $291.26 | $2,057.92 | $2,057.92 | |
Providence
| Facility | $291.26 | $2,057.92 | $2,057.92 |