| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.60 | $16.60 | $5,128.61 | |
Moda Health
| Professional | $100.00 | $100.00 | $100.00 | |
Premera BCBS
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
Providence
| Professional | $4.17 | $4.17 | $5,128.61 |