| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.82 | $57.82 | $72.28 | |
Lucent Health
| Facility | $120.11 | $174.54 | $195.00 | |
Moda Health
| Facility | $29.34 | $36.11 | $68.52 | |
Providence
| Facility | $31.60 | $36.11 | $68.52 | |
Providence
| Professional | $54.98 | $54.98 | $54.98 |