| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.93 | $45.09 | $74.11 | |
Aetna
| Professional | $25.93 | $45.09 | $68.22 | |
Anthem BCBS
| Professional | $44.13 | $62.69 | $88.79 | |
CareFirst
| Professional | $51.44 | $51.44 | $72.98 | |
Cigna
| Facility | $65.48 | $65.48 | $65.48 | |
Cigna
| Professional | $36.63 | $56.51 | $98.25 | |
Kaiser Permanente
| Professional | $46.69 | $70.08 | $94.77 | |
Medcost
| Facility | $27.03 | $47.45 | $75.38 | |
Medcost
| Professional | $57.00 | $58.52 | $119.94 | |
Sentara
| Facility | $28.66 | $49.01 | $117.07 | |
Sentara
| Professional | $40.36 | $56.41 | $188.28 | |
United
| Professional | $32.42 | $51.38 | $85.11 |