| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.97 | $61.64 | $129.62 | |
Asuris Northwest Health
| Professional | $46.83 | $74.09 | $350.32 | |
Cigna
| Professional | $52.97 | $86.25 | $127.89 | |
Kaiser Permanente
| Professional | $58.24 | $95.85 | $170.38 | |
Molina
| Professional | $9.00 | $51.46 | $93.92 | |
Premera BCBS
| Professional | $48.48 | $78.17 | $109.10 | |
Regence BlueShield
| Professional | $52.67 | $66.40 | $103.68 | |
United
| Professional | $57.84 | $90.24 | $135.79 | |
Wellpoint
| Professional | $27.05 | $32.76 | $38.15 |