| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.08 | $457.09 | $467.74 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Cigna
| Professional | $691.83 | $691.83 | $691.83 | |
MountainHealth Co-op
| Facility | $478.63 | $630.96 | $1,445.44 | |
MountainHealth Co-op
| Professional | $478.63 | $630.96 | $1,445.44 | |
Providence
| Facility | $426.58 | $691.83 | $1,071.52 | |
Providence
| Professional | $79.43 | $436.52 | $691.83 | |
United
| Professional | $87.10 | $87.10 | $208.93 |