| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $78.29 | $81.73 | |
Aetna
| Professional | $33.33 | $34.49 | $59.67 | |
Asuris Northwest Health
| Facility | $80.00 | $950.51 | $950.51 | |
Asuris Northwest Health
| Professional | $3.43 | $11.20 | $75.00 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
Wellpoint
| Professional | $22.73 | $22.73 | $22.73 |