| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $47.08 | $47.08 | $58.85 | |
Lucent Health
| Facility | $90.00 | $143.88 | $143.88 | |
Moda Health
| Facility | $26.62 | $32.76 | $56.34 | |
Providence
| Facility | $20.63 | $32.76 | $56.34 | |
Providence
| Professional | $45.14 | $45.14 | $45.14 |