| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.27 | $47.99 | $73.79 | |
Aetna
| Professional | $37.53 | $47.99 | $73.79 | |
Anthem BCBS
| Professional | $39.40 | $61.56 | $96.60 | |
Cigna
| Facility | $52.91 | $52.91 | $52.91 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
Kaiser Permanente
| Professional | $56.13 | $73.67 | $115.56 | |
Medcost
| Facility | $38.42 | $61.96 | $102.03 | |
Medcost
| Professional | $81.93 | $93.29 | $116.00 | |
Sentara
| Facility | $42.36 | $52.46 | $80.68 | |
Sentara
| Professional | $63.34 | $76.81 | $124.55 | |
United
| Professional | $46.27 | $70.36 | $114.66 |