| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.80 | $31.80 | $39.75 | |
Lucent Health
| Facility | $90.00 | $95.52 | $139.00 | |
Moda Health
| Facility | $17.86 | $22.01 | $37.56 | |
Providence
| Facility | $16.18 | $22.01 | $37.56 | |
Providence
| Professional | $30.16 | $30.16 | $30.16 |