| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.73 | $18.23 | $18.23 | |
Aetna
| Professional | $14.51 | $16.73 | $18.30 | |
Cigna
| Facility | $21.36 | $21.36 | $21.36 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Kaiser Permanente
| Professional | $16.10 | $20.14 | $27.45 | |
Medcost
| Facility | $15.00 | $18.29 | $30.62 | |
Medcost
| Professional | $22.94 | $28.72 | $42.05 | |
Sentara
| Facility | $17.21 | $20.05 | $43.19 | |
Sentara
| Professional | $17.21 | $20.05 | $43.19 | |
United
| Professional | $13.92 | $21.49 | $34.20 |