| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.66 | $31.66 | $34.49 | |
Aetna
| Professional | $31.66 | $31.66 | $34.49 | |
Anthem BCBS
| Professional | $21.34 | $21.34 | $26.67 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Kaiser Permanente
| Professional | $285.00 | $285.00 | $315.00 | |
Medcost
| Facility | $31.66 | $34.49 | $48.22 | |
Sentara
| Facility | $1,291.00 | $1,291.00 | $4,071.00 | |
Sentara
| Professional | $1,291.00 | $1,291.00 | $4,071.00 |