| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $245.47 | $245.47 | $245.47 |
BCBS
| Facility | 26 | $512.86 | $512.86 | $512.86 |
Hally Health
| Professional | 26 | $389.05 | $467.74 | $467.74 |
Regence BlueShield
| Facility | 26 | $512.86 | $512.86 | $512.86 |