| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $70.79 | $93.33 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $50.12 | $91.20 | $120.23 | |
MountainHealth Co-op
| Facility | $93.33 | $112.20 | $120.23 | |
MountainHealth Co-op
| Professional | $93.33 | $112.20 | $120.23 | |
Providence
| Facility | $60.26 | $75.86 | $123.03 | |
Providence
| Professional | $64.57 | $79.43 | $112.20 | |
United
| Professional | $69.18 | $107.15 | $131.83 |