| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Premera BCBS
| Professional | $735.00 | $1,131.31 | $1,176.00 | |
Providence
| Professional | $362.50 | $882.00 | $1,399.44 |
Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Premera BCBS
| Professional | $735.00 | $1,131.31 | $1,176.00 | |
Providence
| Professional | $362.50 | $882.00 | $1,399.44 |