| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.86 | $57.35 | $78.15 | |
Asuris Northwest Health
| Professional | $57.43 | $88.50 | $471.30 | |
Cigna
| Professional | $51.44 | $91.56 | $166.42 | |
Kaiser Permanente
| Professional | $48.72 | $66.75 | $118.55 | |
Molina
| Professional | $10.42 | $46.33 | $84.34 | |
Premera BCBS
| Professional | $81.12 | $122.86 | $156.62 | |
Regence BlueShield
| Professional | $67.86 | $79.00 | $110.64 | |
United
| Professional | $73.08 | $113.04 | $171.97 | |
Wellpoint
| Professional | $45.55 | $51.68 | $58.00 |