| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.67 | $44.67 | $53.70 | |
Lucent Health
| Facility | $173.78 | $173.78 | $173.78 | |
Lucent Health
| Professional | $234.42 | $234.42 | $234.42 | |
Moda Health
| Facility | $27.54 | $48.98 | $74.13 | |
Providence
| Facility | $27.54 | $50.12 | $75.86 |