| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.62 | $172.05 | $197.42 | |
Anthem BCBS
| Professional | $138.36 | $183.92 | $233.47 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Kaiser Permanente
| Professional | $120.39 | $166.70 | $222.26 | |
Medcost
| Professional | $223.00 | $291.00 | $337.51 | |
Sentara
| Professional | $163.33 | $214.78 | $775.63 | |
United
| Professional | $129.32 | $205.36 | $370.15 |