| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.86 | $4.86 | $4.86 | |
Aetna
| Professional | $4.86 | $4.86 | $4.86 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Regence BlueShield
| Professional | $15.83 | $16.30 | $42.24 |
Ground Mileage
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.86 | $4.86 | $4.86 | |
Aetna
| Professional | $4.86 | $4.86 | $4.86 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Regence BlueShield
| Professional | $15.83 | $16.30 | $42.24 |