| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $363.08 | $380.19 | |
Cigna
| Facility | $562.34 | $562.34 | $562.34 | |
Cigna
| Professional | $446.68 | $562.34 | $562.34 | |
MountainHealth Co-op
| Facility | $389.05 | $489.78 | $1,174.90 | |
MountainHealth Co-op
| Professional | $389.05 | $489.78 | $1,174.90 | |
Providence
| Facility | $562.34 | $562.34 | $562.34 | |
Providence
| Professional | $79.43 | $354.81 | $489.78 | |
United
| Professional | $165.96 | $165.96 | $389.05 |