| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.74 | $78.90 | $138.63 | |
Asuris Northwest Health
| Professional | $90.07 | $226.31 | $989.06 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Kaiser Permanente
| Professional | $93.24 | $174.43 | $321.24 | |
Molina
| Professional | $28.00 | $162.13 | $288.58 | |
Premera BCBS
| Professional | $137.10 | $212.43 | $272.13 | |
Regence BlueShield
| Professional | $88.24 | $181.80 | $252.37 | |
United
| Professional | $72.16 | $140.69 | $280.95 | |
Wellpoint
| Professional | $82.55 | $82.55 | $117.52 |