| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.17 | $60.51 | $61.66 | |
Aetna
| Professional | $42.34 | $49.46 | $62.86 | |
Anthem BCBS
| Professional | $40.86 | $57.38 | $79.09 | |
CareFirst
| Professional | $51.39 | $51.39 | $71.95 | |
Cigna
| Facility | $65.88 | $65.88 | $65.88 | |
Cigna
| Professional | $48.10 | $69.19 | $106.71 | |
Kaiser Permanente
| Professional | $45.00 | $60.92 | $82.38 | |
Medcost
| Facility | $42.17 | $54.09 | $79.81 | |
Medcost
| Professional | $81.84 | $104.27 | $115.54 | |
Sentara
| Facility | $45.66 | $61.33 | $212.74 | |
Sentara
| Professional | $57.26 | $76.89 | $266.76 | |
United
| Professional | $47.90 | $80.39 | $124.99 |