| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.65 | $20.65 | $25.81 | |
Lucent Health
| Facility | $70.00 | $90.00 | $100.00 | |
Moda Health
| Facility | $9.08 | $14.42 | $24.87 | |
Providence
| Facility | $9.08 | $14.42 | $24.87 | |
Providence
| Professional | $19.88 | $19.88 | $19.88 |