| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.07 | $65.31 | $100.61 | |
Aetna
| Professional | $44.73 | $56.07 | $69.05 | |
Anthem BCBS
| Professional | $42.67 | $56.90 | $83.88 | |
CareFirst
| Professional | $56.51 | $56.51 | $79.11 | |
Cigna
| Facility | $71.34 | $71.34 | $71.34 | |
Cigna
| Professional | $52.07 | $75.95 | $121.74 | |
Kaiser Permanente
| Professional | $47.97 | $64.95 | $87.83 | |
Medcost
| Facility | $45.99 | $62.93 | $102.61 | |
Medcost
| Professional | $86.00 | $96.00 | $128.00 | |
Sentara
| Facility | $51.12 | $70.37 | $244.41 | |
Sentara
| Professional | $64.30 | $86.68 | $300.50 | |
United
| Professional | $47.91 | $80.59 | $143.41 |