| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.12 | $25.12 | $31.62 | |
Molina
| Professional | $44.67 | $50.12 | $64.57 | |
Premera BCBS
| Facility | $6.03 | $6.03 | $6.03 | |
Premera BCBS
| Professional | $6.03 | $6.03 | $6.03 | |
United
| Professional | $8.32 | $8.32 | $8.32 |