| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.12 | $222.57 | $227.08 | |
Aetna
| Professional | $180.25 | $204.10 | $264.70 | |
Anthem BCBS
| Professional | $180.80 | $234.45 | $359.62 | |
CareFirst
| Professional | $256.20 | $256.20 | $1,629.35 | |
Cigna
| Professional | $198.39 | $286.14 | $468.96 | |
Kaiser Permanente
| Professional | $191.27 | $221.97 | $288.56 | |
Medcost
| Facility | $189.18 | $227.08 | $347.92 | |
Medcost
| Professional | $267.00 | $307.52 | $479.40 | |
Sentara
| Facility | $206.99 | $278.16 | $470.09 | |
Sentara
| Professional | $211.16 | $283.79 | $479.59 | |
United
| Professional | $173.10 | $291.11 | $434.54 |