| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Moda Health
| Professional | $15.29 | $17.57 | $25.08 | |
Pacific Source
| Facility | $15.29 | $15.29 | $18.35 | |
Providence
| Professional | $14.53 | $15.60 | $22.63 |