| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.40 | $29.26 | $88.69 | |
Aetna
| Professional | 25 | $12.30 | $12.30 | $140.71 |
Asuris Northwest Health
| Professional | $22.64 | $38.38 | $54.90 | |
Cigna
| Professional | $20.66 | $20.98 | $32.58 | |
Premera BCBS
| Professional | $28.33 | $43.48 | $56.24 | |
Regence BlueShield
| Professional | $22.64 | $39.72 | $54.90 | |
United
| Professional | $14.44 | $30.74 | $52.57 |