| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.22 | $54.64 | $54.64 | |
Aetna
| Professional | $42.48 | $49.22 | $54.64 | |
Cigna
| Facility | $62.56 | $62.56 | $62.56 | |
Cigna
| Professional | $47.02 | $47.02 | $47.02 | |
Kaiser Permanente
| Professional | $48.05 | $59.92 | $81.90 | |
Medcost
| Facility | $44.61 | $54.97 | $90.07 | |
Medcost
| Professional | $69.08 | $84.61 | $123.31 | |
Sentara
| Facility | $50.46 | $59.12 | $118.76 | |
Sentara
| Professional | $50.46 | $59.12 | $125.17 | |
United
| Professional | $41.61 | $61.03 | $97.50 |