| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $58.88 | $61.66 | |
Aetna
| Professional | $38.02 | $53.70 | $61.66 | |
Anthem BCBS
| Professional | $46.77 | $60.26 | $112.20 | |
Cigna
| Facility | $87.10 | $107.15 | $269.15 | |
Cigna
| Professional | $263.03 | $263.03 | $263.03 | |
Kaiser Permanente
| Professional | $48.98 | $64.57 | $81.28 | |
Medcost
| Facility | $39.81 | $58.88 | $93.33 | |
Sentara
| Facility | $53.70 | $81.28 | $10,000.00 | |
Sentara
| Professional | $53.70 | $81.28 | $10,000.00 | |
United
| Facility | $74.13 | $165.96 | $588.84 | |
United
| Professional | $45.71 | $72.44 | $114.82 |