| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $36.31 | |
MountainHealth Co-op
| Facility | $33.88 | $33.88 | $5,248.07 | |
MountainHealth Co-op
| Professional | $33.88 | $33.88 | $5,248.07 | |
Providence
| Facility | $17.38 | $17.38 | $17.38 | |
Providence
| Professional | $20.89 | $45.71 | $79.43 |