| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.00 | $19.00 | $23.75 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $8.25 | $13.98 | $22.33 | |
Providence
| Facility | $8.25 | $13.15 | $22.33 | |
Providence
| Professional | $18.04 | $18.04 | $18.04 |