| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.58 | $68.34 | $72.52 | |
Cigna
| Facility | $58.68 | $67.87 | $374.64 | |
Kaiser Permanente
| Professional | $21.54 | $82.15 | $102.69 | |
Medcost
| Facility | $21.71 | $60.92 | $110.80 | |
Sentara
| Facility | $23.29 | $31.66 | $52.80 |