| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.23 | $128.06 | $188.14 | |
Anthem BCBS
| Professional | $115.01 | $146.35 | $205.58 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $120.93 | $168.84 | $173.25 | |
Medcost
| Professional | $180.39 | $226.52 | $297.74 | |
Sentara
| Professional | $122.96 | $172.22 | $541.64 | |
United
| Professional | $86.04 | $166.37 | $257.72 |