| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.77 | $171.22 | $269.25 | |
Anthem BCBS
| Professional | $110.56 | $199.32 | $316.97 | |
CareFirst
| Professional | $121.84 | $121.84 | $392.99 | |
Cigna
| Professional | $114.29 | $212.11 | $379.14 | |
Kaiser Permanente
| Professional | $206.11 | $257.70 | $414.24 | |
Medcost
| Professional | $226.00 | $275.00 | $410.00 | |
Sentara
| Professional | $197.04 | $278.08 | $486.70 | |
United
| Professional | $158.26 | $227.10 | $375.97 |