| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.35 | $49.56 | $113.04 | |
Cigna
| Facility | $48.82 | $48.82 | $48.82 | |
Kaiser Permanente
| Professional | $43.91 | $48.53 | $57.78 | |
Medcost
| Facility | $41.30 | $49.56 | $67.48 | |
Sentara
| Facility | $43.67 | $63.69 | $4,071.00 |