| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $65.67 | $65.67 | $82.09 | |
Lucent Health
| Facility | $90.00 | $199.32 | $199.32 | |
Moda Health
| Facility | $35.38 | $39.86 | $73.22 | |
Providence
| Facility | $32.54 | $39.86 | $73.22 | |
Providence
| Professional | $62.78 | $62.78 | $62.78 |