| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.50 | $28.50 | $35.63 | |
Lucent Health
| Facility | $60.22 | $90.00 | $90.00 | |
Moda Health
| Facility | $15.73 | $19.66 | $34.01 | |
Providence
| Facility | $15.73 | $19.66 | $34.01 | |
Providence
| Professional | $27.15 | $27.15 | $27.15 |