| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.93 | $16.93 | $21.17 | |
Lucent Health
| Facility | $70.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $9.41 | $12.13 | $20.30 | |
Providence
| Facility | $9.41 | $11.80 | $20.30 | |
Providence
| Professional | $16.23 | $16.23 | $16.23 |