| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $131.83 | $134.90 | $134.90 |
BCBS
| Facility | 26 | $5,495.41 | $5,495.41 | $5,495.41 |
Hally Health
| Professional | 26 | $741.31 | $912.01 | $912.01 |
Moda Health
| Facility | 26 | $131.83 | $131.83 | $131.83 |
Regence BlueShield
| Facility | 26 | $5,495.41 | $5,495.41 | $5,495.41 |