| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $141.25 | $144.54 | |
Cigna
| Facility | $218.78 | $218.78 | $218.78 | |
Cigna
| Professional | $218.78 | $218.78 | $218.78 | |
MountainHealth Co-op
| Facility | $151.36 | $223.87 | $457.09 | |
MountainHealth Co-op
| Professional | $151.36 | $223.87 | $457.09 | |
Providence
| Facility | $134.90 | $218.78 | $331.13 | |
Providence
| Professional | $79.43 | $134.90 | $218.78 | |
United
| Professional | $63.10 | $63.10 | $151.36 |