| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.67 | $44.67 | $44.67 |
BCBS
| Facility | 26 | $446.68 | $446.68 | $446.68 |
Hally Health
| Professional | 26 | $147.91 | $147.91 | $147.91 |
Regence BlueShield
| Facility | 26 | $446.68 | $446.68 | $446.68 |