| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Premera BCBS
| Facility | $26.32 | $26.32 | $28.95 | |
Premera BCBS
| Professional | $6.77 | $11.28 | $30.08 | |
Providence
| Facility | $26.32 | $27.82 | $30.08 | |
Providence
| Professional | $7.14 | $7.67 | $20.68 |