| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.62 | $524.81 | $10,232.93 | |
Aetna
| Professional | $12.30 | $33.88 | $109.65 | |
Cigna
| Professional | $10.00 | $37.15 | $100.00 | |
Kaiser Permanente
| Facility | $16.98 | $48.98 | $107.15 | |
Kaiser Permanente
| Professional | $16.98 | $52.48 | $107.15 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Pacific Source
| Facility | $39.81 | $87.10 | $91.20 | |
Premera BCBS
| Facility | $45.71 | $45.71 | $61.66 | |
Premera BCBS
| Professional | $31.62 | $57.54 | $107.15 | |
Regence BlueShield
| Facility | $245.47 | $245.47 | $309.03 | |
Regence BlueShield
| Professional | $25.12 | $46.77 | $85.11 | |
United
| Facility | $141.25 | $645.65 | $5,754.40 | |
United
| Professional | $23.99 | $46.77 | $97.72 | |
Wellpoint
| Professional | $48.98 | $56.23 | $93.33 |