| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $158.49 | $323.59 | |
Cigna
| Professional | $165.96 | $239.88 | $467.74 | |
MountainHealth Co-op
| Professional | $204.17 | $218.78 | $323.59 | |
Providence
| Professional | $162.18 | $199.53 | $316.23 | |
United
| Professional | $204.17 | $245.47 | $331.13 |