| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $33.88 | $33.88 | |
Aetna
| Professional | $30.20 | $33.88 | $89.13 | |
Anthem BCBS
| Professional | $21.38 | $21.38 | $44.67 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Kaiser Permanente
| Professional | $281.84 | $281.84 | $316.23 | |
Medcost
| Facility | $31.62 | $34.67 | $58.88 | |
Sentara
| Facility | $64.57 | $1,288.25 | $4,073.80 | |
Sentara
| Professional | $64.57 | $1,288.25 | $4,073.80 |