| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $154.88 | $154.88 | $154.88 |
BCBS
| Facility | 26 | $3,388.44 | $3,388.44 | $3,388.44 |
Hally Health
| Professional | 26 | $407.38 | $501.19 | $501.19 |
Regence BlueShield
| Facility | 26 | $3,388.44 | $3,388.44 | $3,388.44 |