| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.41 | $19.41 | $24.26 | |
Lucent Health
| Facility | $31.60 | $90.00 | $100.00 | |
Moda Health
| Facility | $10.99 | $14.56 | $23.35 | |
Providence
| Facility | $11.04 | $13.52 | $23.35 | |
Providence
| Professional | $18.64 | $18.64 | $18.64 |