| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.52 | $59.20 | $165.11 | |
Aetna
| Professional | $37.46 | $48.52 | $73.42 | |
Anthem BCBS
| Professional | $38.85 | $52.32 | $81.93 | |
CareFirst
| Professional | $45.43 | $45.43 | $417.08 | |
Cigna
| Facility | $107.80 | $113.34 | $267.54 | |
Cigna
| Professional | $43.68 | $62.57 | $122.92 | |
Kaiser Permanente
| Professional | $38.79 | $56.00 | $100.17 | |
Medcost
| Facility | $39.71 | $58.61 | $86.14 | |
Medcost
| Professional | $68.00 | $76.00 | $105.00 | |
Sentara
| Facility | $39.36 | $55.23 | $805.00 | |
Sentara
| Professional | $49.79 | $64.48 | $805.00 | |
United
| Facility | $231.00 | $1,045.00 | $2,350.00 | |
United
| Professional | $42.20 | $64.45 | $112.34 |