| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $33.64 | $35.11 | |
Aetna
| Professional | $14.82 | $14.82 | $25.64 | |
Asuris Northwest Health
| Facility | $100.00 | $856.80 | $856.80 | |
Asuris Northwest Health
| Professional | $7.40 | $8.80 | $75.00 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
United
| Professional | $5.59 | $6.20 | $9.38 | |
Wellpoint
| Professional | $7.45 | $7.45 | $7.45 |