| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.82 | $214.18 | $437.81 | |
Asuris Northwest Health
| Professional | $176.89 | $427.95 | $1,632.40 | |
Cigna
| Professional | $144.03 | $287.45 | $617.39 | |
Kaiser Permanente
| Professional | $147.16 | $276.97 | $655.70 | |
Molina
| Professional | $54.03 | $325.59 | $552.28 | |
Premera BCBS
| Professional | $180.51 | $302.99 | $571.29 | |
Regence BlueShield
| Professional | $184.00 | $328.75 | $504.07 | |
United
| Professional | $219.64 | $341.02 | $643.03 | |
Wellpoint
| Professional | $116.70 | $179.72 | $242.58 |