| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.54 | $197.96 | $223.37 | |
Anthem BCBS
| Professional | $0.02 | $202.68 | $218.25 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Kaiser Permanente
| Professional | $143.65 | $198.90 | $265.20 | |
Medcost
| Professional | $286.57 | $363.41 | $404.47 | |
Sentara
| Professional | $178.09 | $247.35 | $336.40 | |
United
| Professional | $160.84 | $256.70 | $449.47 |