| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $69.18 | $91.20 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $83.18 | $114.82 | $120.23 | |
MountainHealth Co-op
| Facility | $123.03 | $125.89 | $131.83 | |
MountainHealth Co-op
| Professional | $123.03 | $125.89 | $131.83 | |
Providence
| Facility | $60.26 | $74.13 | $114.82 | |
Providence
| Professional | $79.43 | $85.11 | $120.23 | |
United
| Professional | $104.71 | $131.83 | $151.36 |