| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $45.71 | $53.70 | |
MountainHealth Co-op
| Facility | $79.43 | $79.43 | $93.33 | |
MountainHealth Co-op
| Professional | $79.43 | $79.43 | $93.33 | |
Providence
| Facility | $52.48 | $60.26 | $91.20 | |
Providence
| Professional | $50.12 | $79.43 | $100.00 |