| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $112.20 | $204.17 | |
MountainHealth Co-op
| Facility | $208.93 | $213.80 | $4,570.88 | |
MountainHealth Co-op
| Professional | $208.93 | $213.80 | $4,570.88 | |
Providence
| Facility | $104.71 | $141.25 | $177.83 | |
Providence
| Professional | $79.43 | $85.11 | $245.47 |