| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $93.33 | $112.20 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $141.25 | $147.91 | $165.96 | |
MountainHealth Co-op
| Facility | $177.83 | $177.83 | $186.21 | |
MountainHealth Co-op
| Professional | $177.83 | $177.83 | $186.21 | |
Providence
| Facility | $64.57 | $102.33 | $165.96 | |
Providence
| Professional | $114.82 | $147.91 | $169.82 | |
United
| Professional | $128.82 | $158.49 | $186.21 |