| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.10 | $32.10 | $32.10 | |
Moda Health
| Facility | $32.10 | $32.10 | $44.94 | |
Premera BCBS
| Facility | $34.58 | $35.93 | $3,495.87 | |
Providence
| Facility | $32.10 | $32.10 | $45.90 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |