| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $12,022.64 | $16,595.87 | |
Aetna
| Professional | $239.88 | $269.15 | $316.23 | |
Moda Health
| Facility | $158.49 | $316.23 | $457.09 | |
Moda Health
| Professional | $158.49 | $288.40 | $389.05 | |
Premera BCBS
| Professional | $1,023.29 | $1,023.29 | $1,479.11 | |
Providence
| Facility | $181.97 | $316.23 | $457.09 | |
United
| Professional | $407.38 | $691.83 | $1,584.89 |