| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.74 | $2.00 | $2.00 | |
Cigna
| Professional | $0.33 | $0.33 | $0.33 | |
Molina
| Professional | $64.57 | $64.57 | $75.86 | |
Pacific Source
| Facility | $0.46 | $0.47 | $0.68 | |
Premera BCBS
| Facility | $0.49 | $0.68 | $1.00 | |
Premera BCBS
| Professional | $0.45 | $0.45 | $0.45 | |
Regence BlueShield
| Facility | $0.41 | $0.50 | $1.02 | |
Regence BlueShield
| Professional | $0.40 | $0.40 | $0.40 | |
United
| Professional | $0.50 | $0.91 | $1.48 | |
Wellpoint
| Professional | $0.40 | $0.40 | $0.71 |