| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.90 | $63.52 | $93.88 | |
Asuris Northwest Health
| Professional | $85.36 | $149.03 | $617.92 | |
Cigna
| Professional | $64.28 | $107.06 | $217.08 | |
Kaiser Permanente
| Professional | $47.74 | $68.25 | $117.85 | |
Molina
| Professional | $18.73 | $98.48 | $177.83 | |
Premera BCBS
| Professional | $96.60 | $144.54 | $191.40 | |
Regence BlueShield
| Professional | $86.86 | $131.33 | $174.03 | |
United
| Professional | $73.44 | $97.18 | $191.45 | |
Wellpoint
| Professional | $56.87 | $69.06 | $80.94 |