| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.15 | $107.15 | $107.15 |
BCBS
| Facility | 26 | $3,467.37 | $3,467.37 | $3,467.37 |
Hally Health
| Professional | 26 | $295.12 | $354.81 | $354.81 |
Regence BlueShield
| Facility | 26 | $3,467.37 | $3,467.37 | $3,467.37 |