| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.18 | $44.99 | $44.99 | |
Aetna
| Professional | $37.61 | $44.18 | $44.99 | |
Anthem BCBS
| Professional | $53.60 | $67.97 | $93.84 | |
Cigna
| Facility | $43.79 | $44.86 | $93.82 | |
Kaiser Permanente
| Professional | $39.97 | $47.96 | $59.16 | |
Medcost
| Facility | $39.97 | $46.83 | $74.66 | |
Medcost
| Professional | $54.00 | $70.00 | $98.69 | |
Sentara
| Facility | $28.52 | $51.14 | $99.90 | |
Sentara
| Professional | $28.52 | $51.14 | $99.90 | |
United
| Professional | $37.67 | $59.47 | $89.31 |