| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.47 | $40.47 | $50.59 | |
Lucent Health
| Facility | $84.44 | $122.67 | $122.67 | |
Moda Health
| Facility | $22.80 | $30.00 | $48.22 | |
Providence
| Facility | $22.90 | $28.06 | $48.22 | |
Providence
| Professional | $38.65 | $38.65 | $38.65 |