| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.73 | $18.55 | $18.55 | |
Aetna
| Professional | $14.33 | $16.73 | $19.07 | |
Cigna
| Facility | $21.36 | $21.36 | $21.36 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Kaiser Permanente
| Professional | $11.90 | $16.47 | $21.96 | |
Medcost
| Facility | $14.26 | $17.80 | $25.10 | |
Medcost
| Professional | $23.32 | $31.41 | $34.69 | |
Sentara
| Facility | $15.11 | $20.99 | $28.50 | |
Sentara
| Professional | $15.11 | $20.99 | $28.50 | |
United
| Professional | $13.45 | $20.85 | $34.54 |