| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $89.13 | $102.33 | |
Cigna
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $125.89 | $131.83 | $147.91 | |
MountainHealth Co-op
| Facility | $158.49 | $158.49 | $165.96 | |
MountainHealth Co-op
| Professional | $158.49 | $158.49 | $165.96 | |
Providence
| Facility | $54.95 | $91.20 | $147.91 | |
Providence
| Professional | $97.72 | $131.83 | $154.88 | |
United
| Professional | $117.49 | $144.54 | $169.82 |