| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $112.20 | $363.08 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $69.18 | $69.18 | $162.18 | |
MountainHealth Co-op
| Professional | $107.15 | $114.82 | $478.63 | |
Providence
| Professional | $64.57 | $79.43 | $138.04 | |
United
| Professional | $93.33 | $114.82 | $128.82 |