| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.64 | $87.64 | $102.96 | |
Aetna
| Professional | $79.59 | $87.64 | $102.99 | |
Anthem BCBS
| Professional | $79.97 | $99.13 | $123.43 | |
Cigna
| Professional | $72.39 | $96.76 | $183.47 | |
Kaiser Permanente
| Professional | $83.04 | $107.62 | $131.76 | |
Medcost
| Facility | $70.62 | $79.09 | $109.30 | |
Medcost
| Professional | $145.56 | $145.56 | $145.56 | |
Sentara
| Facility | $62.60 | $89.43 | $130.12 | |
Sentara
| Professional | $73.55 | $103.90 | $139.02 | |
United
| Professional | $74.29 | $90.11 | $175.95 |