| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.56 | $117.46 | $130.07 | |
Anthem BCBS
| Professional | $0.02 | $118.14 | $127.29 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $85.53 | $118.43 | $157.91 | |
Medcost
| Professional | $169.23 | $214.60 | $239.01 | |
Sentara
| Professional | $105.58 | $146.63 | $199.43 | |
United
| Professional | $93.90 | $149.03 | $260.52 |