| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $79.43 | $109.65 | |
Aetna
| Professional | $58.88 | $72.44 | $85.11 | |
Anthem BCBS
| Professional | $64.57 | $89.13 | $117.49 | |
CareFirst
| Professional | $72.44 | $77.62 | $100.00 | |
Cigna
| Professional | $67.61 | $95.50 | $144.54 | |
Kaiser Permanente
| Professional | $56.23 | $74.13 | $112.20 | |
Medcost
| Facility | $60.26 | $75.86 | $104.71 | |
Sentara
| Facility | $67.61 | $95.50 | $7,413.10 | |
Sentara
| Professional | $77.62 | $107.15 | $7,413.10 | |
United
| Professional | $60.26 | $97.72 | $165.96 |