| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.26 | $60.26 | $60.26 |
BCBS
| Facility | 26 | $346.74 | $346.74 | $346.74 |
Hally Health
| Professional | 26 | $67.61 | $81.28 | $81.28 |
Regence BlueShield
| Facility | 26 | $346.74 | $346.74 | $346.74 |