| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.59 | $26.26 | $61.95 | |
Asuris Northwest Health
| Professional | $31.23 | $57.00 | $265.64 | |
Cigna
| Professional | $26.83 | $35.99 | $88.55 | |
Kaiser Permanente
| Professional | $28.16 | $40.04 | $74.81 | |
Molina
| Professional | $16.61 | $20.30 | $25.98 | |
Premera BCBS
| Professional | $43.80 | $59.64 | $79.58 | |
Regence BlueShield
| Professional | $30.81 | $32.78 | $54.60 | |
United
| Professional | $26.95 | $33.56 | $83.23 | |
Wellpoint
| Professional | $32.38 | $35.81 | $35.81 |