| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $12,022.64 | $16,595.87 | |
Aetna
| Professional | $851.14 | $1,071.52 | $7,943.28 | |
Moda Health
| Facility | $724.44 | $1,148.15 | $7,943.28 | |
Moda Health
| Professional | $724.44 | $1,148.15 | $7,943.28 | |
Premera BCBS
| Professional | $2,754.23 | $3,801.89 | $5,248.07 | |
Providence
| Facility | $851.14 | $1,148.15 | $7,943.28 | |
United
| Professional | $912.01 | $2,511.89 | $6,309.57 |