| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.63 | $32.63 | $40.79 | |
Lucent Health
| Facility | $72.00 | $99.06 | $100.00 | |
Moda Health
| Facility | $18.30 | $24.17 | $38.58 | |
Providence
| Facility | $18.39 | $22.54 | $38.58 | |
Providence
| Professional | $31.06 | $31.06 | $31.06 |