| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.80 | $31.06 | $537.48 | |
Aetna
| Professional | $17.36 | $21.53 | $63.53 | |
Anthem BCBS
| Professional | $16.82 | $21.52 | $36.38 | |
CareFirst
| Professional | $20.61 | $20.61 | $45.73 | |
Cigna
| Facility | $58.52 | $67.69 | $155.08 | |
Cigna
| Professional | $18.03 | $30.96 | $75.79 | |
Kaiser Permanente
| Professional | $17.29 | $20.04 | $26.05 | |
Medcost
| Facility | $17.53 | $24.61 | $68.84 | |
Medcost
| Professional | $28.02 | $83.00 | $102.00 | |
Sentara
| Facility | $20.19 | $28.64 | $44.92 | |
Sentara
| Professional | $21.20 | $40.63 | $90.62 | |
United
| Facility | $226.96 | $601.11 | $797.77 | |
United
| Professional | $16.59 | $32.61 | $75.34 |