| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.27 | $45.60 | $122.84 | |
Aetna
| Professional | $36.10 | $45.60 | $73.81 | |
Anthem BCBS
| Professional | $36.61 | $50.28 | $75.59 | |
CareFirst
| Professional | $34.86 | $36.22 | $83.48 | |
Cigna
| Facility | $100.70 | $103.71 | $116.49 | |
Cigna
| Professional | $39.95 | $61.64 | $102.80 | |
Kaiser Permanente
| Professional | $36.79 | $51.68 | $65.14 | |
Medcost
| Facility | $37.36 | $54.25 | $89.97 | |
Medcost
| Professional | $62.00 | $79.00 | $102.85 | |
Sentara
| Facility | $38.93 | $53.13 | $88.94 | |
Sentara
| Professional | $47.52 | $71.91 | $113.74 | |
United
| Professional | $41.40 | $68.23 | $104.52 |