| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.19 | $25.19 | $31.49 | |
Lucent Health
| Facility | $70.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $14.12 | $18.93 | $29.95 | |
Providence
| Facility | $14.22 | $17.38 | $29.95 | |
Providence
| Professional | $24.01 | $24.01 | $24.01 |