| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $457.09 | $562.34 | $575.44 | |
Cigna
| Facility | $870.96 | $870.96 | $870.96 | |
Cigna
| Professional | $870.96 | $870.96 | $870.96 | |
MountainHealth Co-op
| Facility | $602.56 | $758.58 | $1,819.70 | |
MountainHealth Co-op
| Professional | $602.56 | $758.58 | $1,819.70 | |
Providence
| Facility | $537.03 | $870.96 | $1,318.26 | |
Providence
| Professional | $79.43 | $537.03 | $870.96 | |
United
| Professional | $125.89 | $125.89 | $302.00 |