| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.86 | $57.38 | $59.63 | |
Aetna
| Professional | $41.49 | $50.86 | $59.63 | |
Anthem BCBS
| Professional | $42.26 | $58.29 | $77.37 | |
CareFirst
| Professional | $53.35 | $53.35 | $74.69 | |
Cigna
| Facility | $66.28 | $66.28 | $66.28 | |
Cigna
| Professional | $46.32 | $67.50 | $103.22 | |
Kaiser Permanente
| Professional | $41.74 | $56.51 | $76.42 | |
Medcost
| Facility | $42.29 | $51.85 | $77.45 | |
Medcost
| Professional | $77.00 | $102.05 | $116.23 | |
Sentara
| Facility | $47.23 | $63.06 | $220.04 | |
Sentara
| Professional | $55.38 | $73.84 | $258.02 | |
United
| Professional | $44.82 | $73.58 | $126.96 |