| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.16 | $15.16 | $48.66 | |
Aetna
| Professional | $12.94 | $15.16 | $20.52 | |
Anthem BCBS
| Professional | $11.98 | $15.33 | $21.47 | |
CareFirst
| Professional | $18.50 | $20.56 | $35.36 | |
Cigna
| Facility | $23.81 | $72.00 | $72.00 | |
Cigna
| Professional | $15.45 | $20.12 | $56.25 | |
Kaiser Permanente
| Professional | $14.67 | $20.30 | $26.86 | |
Medcost
| Facility | $13.25 | $16.48 | $27.48 | |
Medcost
| Professional | $28.96 | $37.77 | $50.04 | |
Sentara
| Facility | $19.67 | $30.81 | $48.27 | |
Sentara
| Professional | $19.67 | $31.03 | $49.11 | |
United
| Professional | $17.51 | $23.28 | $37.21 |