| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $380.19 | $870.96 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $190.55 | $275.42 | $602.56 | |
MountainHealth Co-op
| Facility | $281.84 | $616.60 | $707.95 | |
MountainHealth Co-op
| Professional | $281.84 | $616.60 | $707.95 | |
Providence
| Facility | $186.21 | $363.08 | $758.58 | |
Providence
| Professional | $79.43 | $257.04 | $691.83 | |
United
| Professional | $263.03 | $512.86 | $741.31 |