| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.63 | $15.86 | $50.91 | |
Aetna
| Professional | $13.67 | $15.93 | $20.68 | |
Anthem BCBS
| Professional | $12.35 | $15.80 | $21.85 | |
CareFirst
| Professional | $21.17 | $21.17 | $40.01 | |
Cigna
| Facility | $36.26 | $72.00 | $72.00 | |
Cigna
| Professional | $15.92 | $20.99 | $54.09 | |
Kaiser Permanente
| Professional | $17.73 | $21.28 | $28.13 | |
Medcost
| Facility | $14.06 | $17.11 | $28.75 | |
Medcost
| Professional | $30.30 | $39.53 | $52.42 | |
Sentara
| Facility | $20.28 | $31.99 | $50.47 | |
Sentara
| Professional | $20.58 | $32.22 | $50.47 | |
United
| Professional | $18.32 | $24.36 | $36.76 |