| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $97.72 | $114.82 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $141.25 | $151.36 | $165.96 | |
MountainHealth Co-op
| Facility | $181.97 | $181.97 | $186.21 | |
MountainHealth Co-op
| Professional | $181.97 | $181.97 | $186.21 | |
Providence
| Facility | $66.07 | $104.71 | $165.96 | |
Providence
| Professional | $117.49 | $151.36 | $173.78 | |
United
| Professional | $125.89 | $162.18 | $186.21 |