| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.58 | $33.24 | $72.76 | |
Asuris Northwest Health
| Professional | $37.40 | $69.00 | $321.60 | |
Cigna
| Professional | $23.41 | $43.24 | $109.73 | |
Kaiser Permanente
| Professional | $33.60 | $47.78 | $89.92 | |
Molina
| Professional | $18.90 | $99.42 | $175.76 | |
Premera BCBS
| Professional | $53.02 | $72.20 | $96.52 | |
Regence BlueShield
| Professional | $37.29 | $39.67 | $66.93 | |
United
| Professional | $31.89 | $39.34 | $104.97 | |
Wellpoint
| Professional | $38.21 | $41.99 | $41.99 |