| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $79.43 | $125.89 | |
Aetna
| Professional | $60.26 | $70.79 | $89.13 | |
Anthem BCBS
| Professional | $69.18 | $93.33 | $125.89 | |
CareFirst
| Professional | $74.13 | $77.62 | $102.33 | |
Cigna
| Professional | $64.57 | $95.50 | $141.25 | |
Kaiser Permanente
| Professional | $56.23 | $75.86 | $114.82 | |
Medcost
| Facility | $61.66 | $77.62 | $107.15 | |
Sentara
| Facility | $72.44 | $104.71 | $7,413.10 | |
Sentara
| Professional | $79.43 | $107.15 | $7,413.10 | |
United
| Professional | $61.66 | $100.00 | $173.78 |