| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.56 | $79.31 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
Anthem BCBS
| Professional | $47.35 | $77.42 | $86.72 | |
Cigna
| Professional | $55.95 | $55.95 | $95.00 | |
Kaiser Permanente
| Professional | $86.98 | $88.44 | $90.60 | |
Medcost
| Professional | $121.00 | $121.00 | $121.00 | |
Sentara
| Professional | $50.48 | $95.36 | $4,071.00 | |
United
| Professional | $23.68 | $43.37 | $153.68 |