| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.53 | $128.06 | $187.68 | |
Anthem BCBS
| Professional | $115.32 | $146.94 | $206.12 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $120.93 | $168.84 | $173.25 | |
Medcost
| Professional | $179.95 | $227.12 | $298.54 | |
Sentara
| Professional | $132.88 | $176.14 | $540.32 | |
United
| Professional | $93.52 | $169.44 | $286.93 |