| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $416.87 | $537.03 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 | |
MountainHealth Co-op
| Facility | $416.87 | $524.81 | $1,258.93 | |
MountainHealth Co-op
| Professional | $416.87 | $524.81 | $1,258.93 | |
Providence
| Facility | $457.09 | $602.56 | $912.01 | |
Providence
| Professional | $79.43 | $371.54 | $602.56 | |
United
| Professional | $173.78 | $173.78 | $416.87 |