| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.66 | $61.66 | $61.66 |
BCBS
| Facility | 26 | $5,495.41 | $5,495.41 | $5,495.41 |
Hally Health
| Professional | 26 | $97.72 | $120.23 | $120.23 |
Regence BlueShield
| Facility | 26 | $5,495.41 | $5,495.41 | $5,495.41 |