| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.20 | $81.61 | $124.72 | |
Aetna
| Professional | $61.69 | $72.63 | $85.53 | |
Anthem BCBS
| Professional | $66.04 | $83.81 | $110.04 | |
CareFirst
| Professional | $77.91 | $77.91 | $109.07 | |
Cigna
| Facility | $100.27 | $100.27 | $100.27 | |
Cigna
| Professional | $65.86 | $93.85 | $145.53 | |
Kaiser Permanente
| Professional | $59.35 | $82.18 | $108.66 | |
Medcost
| Facility | $62.94 | $79.11 | $111.58 | |
Medcost
| Professional | $105.34 | $144.76 | $164.99 | |
Sentara
| Facility | $72.22 | $99.60 | $354.05 | |
Sentara
| Professional | $75.78 | $101.77 | $354.05 | |
United
| Professional | $60.33 | $103.08 | $167.74 |