| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $358.35 | $358.35 | $358.35 | |
Moda Health
| Professional | $108.33 | $108.33 | $108.33 | |
Pacific Source
| Facility | $129.28 | $328.00 | $667.51 | |
Providence
| Facility | $358.35 | $358.35 | $1,644,075.12 | |
Regence BlueShield
| Facility | $356.81 | $431.88 | $522.99 |