| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $162.18 | $169.82 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $251.19 | $251.19 | $251.19 | |
MountainHealth Co-op
| Facility | $173.78 | $263.03 | $524.81 | |
MountainHealth Co-op
| Professional | $173.78 | $263.03 | $524.81 | |
Providence
| Facility | $154.88 | $251.19 | $380.19 | |
Providence
| Professional | $79.43 | $158.49 | $251.19 | |
United
| Professional | $74.13 | $74.13 | $173.78 |