| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.55 | $165.11 | $180.46 | |
Anthem BCBS
| Professional | $0.02 | $164.10 | $176.59 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Kaiser Permanente
| Professional | $120.39 | $166.70 | $222.26 | |
Medcost
| Professional | $239.00 | $303.63 | $337.51 | |
Sentara
| Professional | $148.58 | $206.36 | $280.64 | |
United
| Professional | $130.05 | $211.29 | $362.94 |