| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.40 | $34.40 | $34.40 | |
Moda Health
| Facility | $34.40 | $34.40 | $48.16 | |
Premera BCBS
| Facility | $36.21 | $36.22 | $3,495.87 | |
Providence
| Facility | $34.40 | $34.40 | $49.19 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |