| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12.39 | $12.39 | $15.49 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $4.51 | $9.32 | $14.72 | |
Providence
| Facility | $4.51 | $8.68 | $14.72 | |
Providence
| Professional | $11.90 | $11.90 | $11.90 |