| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $932.51 | $932.51 | $932.51 | |
Aetna
| Professional | $932.51 | $932.51 | $932.51 | |
Regence BlueShield
| Professional | $1,630.31 | $1,630.31 | $1,630.31 |
Specialty Care Transport
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $932.51 | $932.51 | $932.51 | |
Aetna
| Professional | $932.51 | $932.51 | $932.51 | |
Regence BlueShield
| Professional | $1,630.31 | $1,630.31 | $1,630.31 |