| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $10.74 | $10.74 | $13.43 | |
Lucent Health
| Facility | $70.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $6.09 | $7.50 | $12.69 | |
Providence
| Facility | $6.00 | $7.50 | $12.69 | |
Providence
| Professional | $10.33 | $10.33 | $10.33 |