| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $85.11 | $87.10 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
MountainHealth Co-op
| Facility | $91.20 | $123.03 | $275.42 | |
MountainHealth Co-op
| Professional | $91.20 | $123.03 | $275.42 | |
Providence
| Facility | $81.28 | $131.83 | $199.53 | |
Providence
| Professional | $79.43 | $83.18 | $131.83 | |
United
| Professional | $38.90 | $38.90 | $91.20 |