| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.04 | $14.04 | $17.55 | |
Lucent Health
| Facility | $90.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $7.97 | $10.48 | $16.75 | |
Providence
| Facility | $7.97 | $9.82 | $16.75 | |
Providence
| Professional | $13.45 | $13.45 | $13.45 |