| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.50 | $242.23 | $390.82 | |
Anthem BCBS
| Professional | $209.58 | $269.20 | $374.26 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Kaiser Permanente
| Professional | $214.59 | $299.61 | $307.50 | |
Medcost
| Professional | $340.00 | $417.92 | $542.23 | |
Sentara
| Professional | $247.60 | $338.39 | $1,096.30 | |
United
| Professional | $110.12 | $277.93 | $483.77 |