| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.63 | $73.03 | $114.87 | |
Aetna
| Professional | $26.14 | $46.31 | $78.18 | |
Cigna
| Facility | $50.02 | $50.02 | $50.02 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Kaiser Permanente
| Professional | $30.07 | $52.00 | $72.80 | |
Medcost
| Facility | $29.90 | $55.06 | $98.59 | |
Medcost
| Professional | $73.00 | $115.62 | $139.00 | |
Sentara
| Facility | $27.80 | $40.54 | $97.46 | |
Sentara
| Professional | $53.80 | $74.61 | $120.53 | |
United
| Professional | $50.66 | $80.56 | $131.21 |