| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $71.09 | $71.09 | $85.18 | |
Lucent Health
| Facility | $159.63 | $293.31 | $293.31 | |
Lucent Health
| Professional | $388.19 | $803.55 | $803.55 | |
Moda Health
| Facility | $56.58 | $83.81 | $114.48 | |
Providence
| Facility | $56.58 | $83.89 | $114.48 |