| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Lucent Health
| Facility | $136.94 | $174.12 | $174.12 | |
Moda Health
| Facility | $16.36 | $21.00 | $34.52 | |
Providence
| Facility | $16.47 | $20.14 | $34.52 | |
Providence
| Professional | $27.81 | $27.81 | $27.81 |