| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.46 | $330.46 | $373.11 | |
Aetna
| Professional | $272.80 | $330.46 | $337.51 | |
Anthem BCBS
| Professional | $284.58 | $353.03 | $499.11 | |
Cigna
| Facility | $334.42 | $440.67 | $800.00 | |
Cigna
| Professional | $1,398.52 | $1,398.52 | $1,398.52 | |
Kaiser Permanente
| Professional | $287.16 | $344.60 | $422.31 | |
Medcost
| Facility | $272.80 | $337.51 | $581.61 | |
Medcost
| Professional | $155.00 | $362.00 | $705.19 | |
Sentara
| Facility | $105.46 | $275.39 | $488.53 | |
Sentara
| Professional | $117.27 | $351.20 | $563.67 | |
United
| Professional | $253.27 | $384.71 | $635.03 |