| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.98 | $30.98 | $38.72 | |
Lucent Health
| Facility | $72.00 | $94.35 | $100.00 | |
Moda Health
| Facility | $17.55 | $23.30 | $37.04 | |
Providence
| Facility | $17.64 | $21.60 | $37.04 | |
Providence
| Professional | $29.78 | $29.78 | $29.78 |