| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.56 | $30.56 | $38.20 | |
Lucent Health
| Facility | $77.45 | $158.10 | $158.10 | |
Moda Health
| Facility | $16.96 | $21.23 | $36.54 | |
Providence
| Facility | $16.96 | $21.23 | $36.54 | |
Providence
| Professional | $29.26 | $29.26 | $29.26 |