| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $257.04 | $263.03 | |
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
Cigna
| Professional | $398.11 | $398.11 | $398.11 | |
MountainHealth Co-op
| Facility | $275.42 | $354.81 | $831.76 | |
MountainHealth Co-op
| Professional | $275.42 | $354.81 | $831.76 | |
Providence
| Facility | $245.47 | $398.11 | $602.56 | |
Providence
| Professional | $79.43 | $245.47 | $398.11 | |
United
| Professional | $114.82 | $114.82 | $275.42 |