| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.40 | $235.40 | $235.40 | |
Aetna
| Professional | $235.40 | $235.40 | $13,354.94 | |
Regence BlueShield
| Professional | $1,630.31 | $1,630.31 | $1,630.31 |
Bls-Emergency
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.40 | $235.40 | $235.40 | |
Aetna
| Professional | $235.40 | $235.40 | $13,354.94 | |
Regence BlueShield
| Professional | $1,630.31 | $1,630.31 | $1,630.31 |