| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.44 | $72.44 | $72.44 |
BCBS
| Facility | 26 | $346.74 | $346.74 | $346.74 |
Hally Health
| Professional | 26 | $79.43 | $95.50 | $95.50 |
Regence BlueShield
| Facility | 26 | $346.74 | $346.74 | $346.74 |