| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $199.53 | $199.53 | $199.53 |
BCBS
| Facility | 26 | $5,495.41 | $5,495.41 | $5,495.41 |
Hally Health
| Professional | 26 | $467.74 | $562.34 | $562.34 |
Regence BlueShield
| Facility | 26 | $5,495.41 | $5,495.41 | $5,495.41 |