| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $134.90 | $138.04 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $208.93 | $208.93 | $208.93 | |
MountainHealth Co-op
| Facility | $141.25 | $190.55 | $436.52 | |
MountainHealth Co-op
| Professional | $141.25 | $190.55 | $436.52 | |
Providence
| Facility | $125.89 | $208.93 | $316.23 | |
Providence
| Professional | $79.43 | $128.82 | $208.93 | |
United
| Professional | $60.26 | $60.26 | $141.25 |