| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.86 | $33.86 | $42.34 | |
Lucent Health
| Facility | $86.00 | $102.60 | $150.00 | |
Moda Health
| Facility | $19.05 | $24.80 | $40.10 | |
Providence
| Facility | $19.13 | $23.45 | $40.10 | |
Providence
| Professional | $32.31 | $32.31 | $32.31 |