| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.39 | $24.55 | $30.90 | |
Molina
| Professional | $60.26 | $60.26 | $79.43 | |
Pacific Source
| Facility | $15.85 | $16.22 | $28.18 | |
Premera BCBS
| Facility | $19.05 | $19.05 | $19.05 | |
Premera BCBS
| Professional | $17.38 | $19.95 | $34.67 | |
United
| Professional | $10.72 | $12.88 | $17.78 |