| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $263.03 | $263.03 | $263.03 |
BCBS
| Facility | 26 | $446.68 | $446.68 | $446.68 |
Hally Health
| Professional | 26 | $741.31 | $741.31 | $741.31 |
Regence BlueShield
| Facility | 26 | $446.68 | $446.68 | $446.68 |