| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.64 | $96.73 | $149.75 | |
Aetna
| Professional | $69.84 | $85.19 | $102.96 | |
Anthem BCBS
| Professional | $66.13 | $82.67 | $101.21 | |
CareFirst
| Professional | $88.57 | $88.57 | $124.00 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $78.81 | $114.88 | $185.94 | |
Kaiser Permanente
| Professional | $71.97 | $97.44 | $131.76 | |
Medcost
| Facility | $72.09 | $96.81 | $148.11 | |
Medcost
| Professional | $129.00 | $142.00 | $192.00 | |
Sentara
| Facility | $80.65 | $110.12 | $384.23 | |
Sentara
| Professional | $96.77 | $128.31 | $449.44 | |
United
| Professional | $71.61 | $116.61 | $195.76 |