| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.52 | $90.17 | $139.51 | |
Aetna
| Professional | $51.52 | $85.54 | $129.25 | |
Anthem BCBS
| Professional | $79.36 | $116.64 | $168.88 | |
CareFirst
| Professional | $93.11 | $93.11 | $139.30 | |
Cigna
| Facility | $120.47 | $120.47 | $120.47 | |
Cigna
| Professional | $65.87 | $112.34 | $186.96 | |
Kaiser Permanente
| Professional | $86.14 | $131.05 | $177.21 | |
Medcost
| Facility | $54.10 | $90.17 | $142.82 | |
Medcost
| Professional | $114.00 | $117.08 | $226.68 | |
Sentara
| Facility | $53.07 | $92.23 | $225.00 | |
Sentara
| Professional | $59.30 | $111.39 | $388.69 | |
United
| Professional | $64.55 | $105.77 | $190.08 |