| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.05 | $0.07 | |
Aetna
| Professional | $0.05 | $0.05 | $0.05 | |
Regence BlueShield
| Professional | $19.54 | $23.88 | $27.93 | |
United
| Professional | $9.58 | $10.16 | $14.51 |
Drug/Substance Definitive Qual/Quant Nos 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.05 | $0.07 | |
Aetna
| Professional | $0.05 | $0.05 | $0.05 | |
Regence BlueShield
| Professional | $19.54 | $23.88 | $27.93 | |
United
| Professional | $9.58 | $10.16 | $14.51 |