| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.41 | $174.87 | $243.08 | |
Anthem BCBS
| Professional | $140.32 | $180.26 | $250.59 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Kaiser Permanente
| Professional | $149.19 | $208.30 | $213.76 | |
Medcost
| Professional | $205.00 | $256.00 | $363.00 | |
Sentara
| Professional | $158.81 | $216.78 | $729.96 | |
United
| Professional | $93.52 | $195.66 | $328.51 |