| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Lucent Health
| Facility | $28.32 | $90.00 | $90.00 | |
Moda Health
| Facility | $10.34 | $12.72 | $21.83 | |
Providence
| Facility | $8.01 | $11.93 | $21.83 | |
Providence
| Professional | $17.52 | $17.52 | $17.52 |