| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.67 | $27.67 | $34.59 | |
Lucent Health
| Facility | $72.00 | $96.00 | $100.00 | |
Moda Health
| Facility | $15.63 | $20.68 | $32.99 | |
Providence
| Facility | $15.70 | $19.23 | $32.99 | |
Providence
| Professional | $26.51 | $26.51 | $26.51 |