| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Molina
| Professional | $44.67 | $50.12 | $64.57 | |
Premera BCBS
| Facility | $4.07 | $4.07 | $4.07 | |
Premera BCBS
| Professional | $4.07 | $4.07 | $4.07 | |
United
| Professional | $32.36 | $32.36 | $32.36 |