| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.97 | $37.36 | $37.36 | |
Anthem BCBS
| Professional | $17.59 | $17.59 | $36.70 | |
Cigna
| Professional | $23.12 | $23.12 | $23.12 | |
Kaiser Permanente
| Professional | $43.97 | $48.37 | $61.56 | |
Medcost
| Facility | $29.03 | $39.96 | $72.78 | |
Medcost
| Professional | $52.00 | $65.95 | $103.78 | |
Sentara
| Facility | $29.79 | $36.61 | $64.66 | |
Sentara
| Professional | $29.79 | $38.81 | $64.66 | |
United
| Professional | $12.54 | $19.35 | $47.40 |