| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $58.88 | $72.44 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $89.13 | $89.13 | $97.72 | |
MountainHealth Co-op
| Facility | $107.15 | $107.15 | $12,589.25 | |
MountainHealth Co-op
| Professional | $107.15 | $107.15 | $12,589.25 | |
Providence
| Facility | $34.67 | $66.07 | $97.72 | |
Providence
| Professional | $79.43 | $97.72 | $131.83 | |
United
| Professional | $42.66 | $93.33 | $114.82 |