| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $67.73 | $67.73 | $84.67 | |
Lucent Health
| Facility | $94.10 | $204.03 | $204.03 | |
Moda Health
| Facility | $35.69 | $41.13 | $74.95 | |
Providence
| Facility | $32.54 | $41.13 | $74.95 | |
Providence
| Professional | $64.42 | $64.42 | $64.42 |