| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $61.66 | $181.97 | |
BCBS
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Professional | $54.95 | $87.10 | $109.65 | |
MountainHealth Co-op
| Professional | $91.20 | $120.23 | $125.89 | |
Providence
| Professional | $60.26 | $85.11 | $109.65 | |
United
| Professional | $52.48 | $64.57 | $70.79 |