| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.82 | $15.83 | $19.97 | |
Asuris Northwest Health
| Professional | $18.70 | $32.08 | $140.93 | |
Cigna
| Professional | $14.88 | $14.88 | $14.88 | |
Kaiser Permanente
| Professional | $14.00 | $18.76 | $33.04 | |
Premera BCBS
| Professional | $23.52 | $36.35 | $45.36 | |
Regence BlueShield
| Professional | $21.65 | $27.93 | $40.67 | |
United
| Professional | $20.16 | $31.17 | $47.30 | |
Wellpoint
| Professional | $13.80 | $16.23 | $16.23 |