| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.15 | $176.76 | $260.17 | |
Anthem BCBS
| Professional | $158.71 | $201.96 | $283.67 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Kaiser Permanente
| Professional | $166.59 | $232.61 | $238.61 | |
Medcost
| Professional | $248.33 | $312.73 | $410.78 | |
Sentara
| Professional | $170.06 | $237.57 | $749.47 | |
United
| Professional | $108.31 | $222.87 | $342.88 |