| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $532.63 | $532.63 | $638.15 | |
Lucent Health
| Facility | $414.80 | $414.80 | $990.57 | |
Lucent Health
| Professional | $1,590.89 | $1,590.89 | $1,590.89 | |
Moda Health
| Facility | $191.55 | $313.32 | $550.34 | |
Providence
| Facility | $187.16 | $308.64 | $550.34 |