| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.71 | $124.10 | $142.36 | |
Anthem BCBS
| Professional | $99.66 | $130.15 | $165.22 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $85.53 | $118.43 | $157.91 | |
Medcost
| Professional | $158.00 | $206.00 | $239.01 | |
Sentara
| Professional | $116.48 | $151.56 | $229.84 | |
United
| Professional | $93.41 | $158.08 | $266.63 |