| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.03 | $63.03 | $75.51 | |
Lucent Health
| Facility | $150.93 | $279.63 | $279.63 | |
Lucent Health
| Professional | $350.74 | $350.74 | $350.74 | |
Moda Health
| Facility | $57.97 | $79.58 | $109.36 | |
Providence
| Facility | $57.97 | $80.05 | $108.67 |