| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $501.19 | $512.86 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $758.58 | $758.58 | $758.58 | |
MountainHealth Co-op
| Facility | $524.81 | $691.83 | $1,584.89 | |
MountainHealth Co-op
| Professional | $524.81 | $691.83 | $1,584.89 | |
Providence
| Facility | $467.74 | $758.58 | $1,148.15 | |
Providence
| Professional | $79.43 | $478.63 | $758.58 | |
United
| Professional | $223.87 | $223.87 | $524.81 |