| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $55.34 | $55.34 | $69.18 | |
Lucent Health
| Facility | $104.65 | $167.46 | $167.46 | |
Moda Health
| Facility | $30.59 | $38.29 | $65.48 | |
Providence
| Facility | $30.59 | $38.29 | $65.48 | |
Providence
| Professional | $52.78 | $52.78 | $52.78 |