| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $26.43 | $26.43 | $33.04 | |
Lucent Health
| Facility | $86.00 | $90.00 | $160.00 | |
Moda Health
| Facility | $14.89 | $19.80 | $31.47 | |
Providence
| Facility | $14.95 | $18.32 | $31.47 | |
Providence
| Professional | $25.24 | $25.24 | $25.24 |