| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $141.25 | $331.13 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $128.82 | $177.83 | $389.05 | |
MountainHealth Co-op
| Facility | $218.78 | $223.87 | $245.47 | |
MountainHealth Co-op
| Professional | $218.78 | $223.87 | $245.47 | |
Providence
| Facility | $123.03 | $186.21 | $323.59 | |
Providence
| Professional | $79.43 | $204.17 | $331.13 | |
United
| Professional | $169.82 | $218.78 | $275.42 |