| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.34 | $238.38 | $238.38 | |
Aetna
| Professional | $53.95 | $104.34 | $238.38 | |
Anthem BCBS
| Professional | $51.30 | $65.90 | $91.98 | |
Cigna
| Facility | $92.46 | $352.22 | $741.57 | |
Cigna
| Professional | $346.77 | $346.77 | $346.77 | |
Kaiser Permanente
| Professional | $60.61 | $71.31 | $90.21 | |
Medcost
| Facility | $46.06 | $166.94 | $304.60 | |
Medcost
| Professional | $157.00 | $185.03 | $202.00 | |
Sentara
| Facility | $54.86 | $258.42 | $9,929.00 | |
Sentara
| Professional | $54.86 | $258.42 | $9,929.00 | |
United
| Professional | $40.27 | $163.26 | $294.11 |