| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.59 | $79.59 | $96.73 | |
Aetna
| Professional | $69.17 | $85.27 | $102.96 | |
Anthem BCBS
| Professional | $0.90 | $89.56 | $135.56 | |
CareFirst
| Professional | $88.57 | $88.57 | $170.80 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $84.39 | $123.08 | $206.65 | |
Kaiser Permanente
| Professional | $80.91 | $110.72 | $175.46 | |
Medcost
| Facility | $79.59 | $116.02 | $176.04 | |
Medcost
| Professional | $129.00 | $148.00 | $197.18 | |
Sentara
| Facility | $88.53 | $118.08 | $184.27 | |
Sentara
| Professional | $103.99 | $135.54 | $197.07 | |
United
| Professional | $81.06 | $121.09 | $195.76 |