| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.92 | $40.92 | $49.03 | |
Lucent Health
| Facility | $70.00 | $103.12 | $118.62 | |
Lucent Health
| Professional | $201.64 | $217.25 | $217.25 | |
Moda Health
| Facility | $21.96 | $39.75 | $59.12 | |
Providence
| Facility | $21.96 | $39.75 | $59.69 |