| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Lucent Health
| Facility | $72.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $16.25 | $21.55 | $34.52 | |
Providence
| Facility | $16.32 | $20.00 | $34.52 | |
Providence
| Professional | $27.55 | $27.55 | $27.55 |