| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.23 | $120.23 | $120.23 |
BCBS
| Facility | 26 | $2,511.89 | $2,511.89 | $2,511.89 |
Moda Health
| Facility | 26 | $120.23 | $120.23 | $120.23 |
Regence BlueShield
| Facility | 26 | $2,511.89 | $2,511.89 | $2,511.89 |