| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $128.82 | $316.23 | |
BCBS
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Professional | $109.65 | $147.91 | $263.03 | |
MountainHealth Co-op
| Professional | $162.18 | $177.83 | $213.80 | |
Providence
| Professional | $79.43 | $165.96 | $269.15 | |
United
| Professional | $125.89 | $177.83 | $204.17 |