| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.12 | $35.40 | $35.40 | |
Aetna
| Professional | $27.14 | $31.12 | $35.40 | |
Cigna
| Facility | $40.07 | $40.07 | $40.07 | |
Cigna
| Professional | $29.76 | $29.76 | $29.76 | |
Kaiser Permanente
| Professional | $30.31 | $38.22 | $51.66 | |
Medcost
| Facility | $28.90 | $35.50 | $58.26 | |
Medcost
| Professional | $44.54 | $54.00 | $79.27 | |
Sentara
| Facility | $32.43 | $38.27 | $80.45 | |
Sentara
| Professional | $32.43 | $38.27 | $80.45 | |
United
| Professional | $27.02 | $40.01 | $68.76 |