| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.18 | $13.18 | $16.60 | |
Moda Health
| Professional | $60.26 | $60.26 | $60.26 | |
Premera BCBS
| Professional | $27.54 | $27.54 | $27.54 | |
Providence
| Professional | $60.26 | $60.26 | $60.26 |