| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.78 | $24.78 | $30.98 | |
Lucent Health
| Facility | $70.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $14.05 | $18.00 | $29.44 | |
Providence
| Facility | $14.11 | $17.30 | $29.44 | |
Providence
| Professional | $23.82 | $23.82 | $23.82 |