| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.00 | $19.00 | $23.75 | |
Lucent Health
| Facility | $85.00 | $103.00 | $103.00 | |
Moda Health
| Facility | $10.29 | $11.47 | $22.33 | |
Providence
| Facility | $10.11 | $11.47 | $22.33 | |
Providence
| Professional | $17.98 | $17.98 | $17.98 |