| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
Lucent Health
| Facility | $77.09 | $96.85 | $173.00 | |
Moda Health
| Facility | $17.78 | $21.89 | $37.56 | |
Providence
| Facility | $16.18 | $21.89 | $37.56 | |
Providence
| Professional | $30.16 | $30.16 | $30.16 |