| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.24 | $12.98 | $102.21 | |
Cigna
| Facility | $12.86 | $124.00 | $1,348.66 | |
Kaiser Permanente
| Professional | $9.83 | $12.50 | $15.55 | |
Medcost
| Facility | $11.03 | $20.20 | $87.12 | |
Sentara
| Facility | $13.01 | $43.15 | $79.18 |