| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $95.50 | $407.38 | |
Cigna
| Facility | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $128.82 | $138.04 | $151.36 | |
MountainHealth Co-op
| Facility | $165.96 | $165.96 | $169.82 | |
MountainHealth Co-op
| Professional | $165.96 | $165.96 | $169.82 | |
Providence
| Facility | $56.23 | $95.50 | $154.88 | |
Providence
| Professional | $100.00 | $138.04 | $158.49 | |
United
| Professional | $120.23 | $147.91 | $173.78 |