| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.50 | $28.50 | $35.63 | |
Lucent Health
| Facility | $70.00 | $101.29 | $113.00 | |
Moda Health
| Facility | $15.19 | $19.66 | $34.01 | |
Providence
| Facility | $15.19 | $19.66 | $34.01 | |
Providence
| Professional | $27.15 | $27.15 | $27.15 |