| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $26.51 | $26.51 | $31.77 | |
Lucent Health
| Facility | $80.00 | $90.00 | $100.00 | |
Lucent Health
| Professional | $73.56 | $75.78 | $75.78 | |
Moda Health
| Facility | $18.75 | $38.04 | $86.00 | |
Moda Health
| Professional | $9.00 | $24.38 | $56.25 | |
Oscar Health
| Facility | $16.22 | $21.96 | $118.05 | |
Providence
| Professional | $27.50 | $27.50 | $28.75 |