| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $177.83 | $177.83 | |
Aetna
| Professional | $16.98 | $25.12 | $74.13 | |
BCBS
| Facility | $74.13 | $66,069.34 | $95,499.26 | |
BCBS
| Professional | $28.18 | $29.51 | $29.51 | |
Cigna
| Facility | $28.18 | $34.67 | $112.20 | |
Cigna
| Professional | $18.62 | $28.18 | $93.33 | |
MountainHealth Co-op
| Facility | $30.90 | $32.36 | $107.15 | |
MountainHealth Co-op
| Professional | $30.90 | $32.36 | $107.15 | |
Providence
| Facility | $16.98 | $28.18 | $81.28 | |
Providence
| Professional | $23.99 | $47.86 | $79.43 | |
United
| Professional | $23.99 | $33.88 | $93.33 |