| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.82 | $114.82 | $114.82 |
BCBS
| Facility | 26 | $1,047.13 | $1,047.13 | $1,047.13 |
Hally Health
| Professional | 26 | $169.82 | $204.17 | $204.17 |
Regence BlueShield
| Facility | 26 | $1,047.13 | $1,047.13 | $1,047.13 |