| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Lucent Health
| Facility | $90.00 | $97.89 | $100.00 | |
Moda Health
| Facility | $18.28 | $24.00 | $38.58 | |
Providence
| Facility | $18.28 | $22.51 | $38.58 | |
Providence
| Professional | $30.86 | $30.86 | $30.86 |