| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.98 | $30.98 | $38.72 | |
Lucent Health
| Facility | $90.00 | $94.35 | $100.00 | |
Moda Health
| Facility | $17.54 | $21.61 | $37.04 | |
Providence
| Facility | $17.54 | $21.61 | $37.04 | |
Providence
| Professional | $29.61 | $29.61 | $29.61 |