| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.48 | $79.65 | $81.23 | |
Aetna
| Professional | $61.09 | $73.48 | $82.90 | |
Anthem BCBS
| Professional | $59.11 | $80.97 | $106.09 | |
CareFirst
| Professional | $76.95 | $76.95 | $107.73 | |
Cigna
| Facility | $99.60 | $99.60 | $99.60 | |
Cigna
| Professional | $67.23 | $93.64 | $144.47 | |
Kaiser Permanente
| Professional | $58.48 | $80.97 | $107.06 | |
Medcost
| Facility | $62.46 | $76.37 | $109.60 | |
Medcost
| Professional | $107.00 | $138.37 | $160.88 | |
Sentara
| Facility | $68.23 | $92.22 | $317.89 | |
Sentara
| Professional | $75.44 | $101.31 | $351.46 | |
United
| Professional | $61.31 | $103.24 | $174.69 |