| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.06 | $55.06 | $93.19 | |
Aetna
| Professional | $46.45 | $59.12 | $104.54 | |
Anthem BCBS
| Professional | $36.86 | $46.26 | $64.66 | |
Cigna
| Facility | $107.80 | $110.43 | $267.54 | |
Kaiser Permanente
| Professional | $46.73 | $54.97 | $71.45 | |
Medcost
| Facility | $47.01 | $79.20 | $118.25 | |
Medcost
| Professional | $68.00 | $144.19 | $183.00 | |
Sentara
| Facility | $57.99 | $106.28 | $242.99 | |
Sentara
| Professional | $57.99 | $106.28 | $242.99 | |
United
| Professional | $40.47 | $68.39 | $99.12 |