| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $173.78 | $363.08 | |
Cigna
| Professional | $131.83 | $181.97 | $234.42 | |
MountainHealth Co-op
| Professional | $194.98 | $239.88 | $269.15 | |
Providence
| Professional | $79.43 | $158.49 | $281.84 | |
United
| Professional | $177.83 | $218.78 | $331.13 |