| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Moda Health
| Professional | $60.26 | $60.26 | $60.26 | |
Premera BCBS
| Facility | $3,467.37 | $3,467.37 | $3,467.37 | |
Providence
| Professional | $60.26 | $70.79 | $70.79 |