| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.17 | $37.17 | $46.46 | |
Lucent Health
| Facility | $77.81 | $113.22 | $113.22 | |
Moda Health
| Facility | $20.64 | $27.96 | $44.16 | |
Providence
| Facility | $20.64 | $25.85 | $44.16 | |
Providence
| Professional | $35.61 | $35.61 | $35.61 |