| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.23 | $105.18 | $571.64 | |
Aetna
| Professional | $34.83 | $37.77 | $45.15 | |
Anthem BCBS
| Facility | $47.81 | $47.81 | $232.83 | |
Anthem BCBS
| Professional | $23.61 | $23.61 | $28.92 | |
CareFirst
| Professional | $186.58 | $285.14 | $426.85 | |
Cigna
| Facility | $33.40 | $114.66 | $244.90 | |
Cigna
| Professional | $26.89 | $31.87 | $54.93 | |
Kaiser Permanente
| Professional | $57.37 | $59.76 | $70.76 | |
Medcost
| Facility | $34.82 | $34.82 | $45.15 | |
Medcost
| Professional | $24.13 | $55.19 | $67.55 | |
Sentara
| Facility | $34.90 | $62.39 | $4,071.00 | |
Sentara
| Professional | $34.90 | $62.39 | $4,071.00 | |
United
| Professional | $20.07 | $27.25 | $40.53 |