| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $36.22 | $53.46 | |
Aetna
| Professional | $15.91 | $23.26 | $38.64 | |
Anthem BCBS
| Professional | $16.82 | $31.03 | $56.53 | |
CareFirst
| Professional | $20.45 | $20.45 | $153.27 | |
Cigna
| Facility | $43.54 | $50.37 | $94.58 | |
Cigna
| Professional | $17.53 | $34.45 | $65.98 | |
Kaiser Permanente
| Professional | $17.18 | $44.53 | $55.66 | |
Medcost
| Facility | $17.18 | $33.36 | $53.87 | |
Medcost
| Professional | $39.00 | $44.00 | $67.11 | |
Sentara
| Facility | $16.85 | $23.45 | $40.50 | |
Sentara
| Professional | $30.85 | $44.91 | $83.80 | |
United
| Professional | $25.50 | $40.57 | $72.69 |