| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.02 | $39.81 | $40.74 |
BCBS
| Facility | 26 | $446.68 | $446.68 | $446.68 |
Hally Health
| Professional | 26 | $104.71 | $131.83 | $131.83 |
Moda Health
| Facility | 26 | $38.02 | $39.81 | $39.81 |
Regence BlueShield
| Facility | 26 | $446.68 | $446.68 | $446.68 |