| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.04 | $36.50 | $36.50 | |
Aetna
| Professional | $28.76 | $33.04 | $36.50 | |
Cigna
| Facility | $42.40 | $42.40 | $42.40 | |
Cigna
| Professional | $31.84 | $31.84 | $31.84 | |
Kaiser Permanente
| Professional | $32.51 | $40.65 | $55.41 | |
Medcost
| Facility | $29.80 | $36.65 | $60.67 | |
Medcost
| Professional | $45.94 | $57.07 | $83.69 | |
Sentara
| Facility | $34.24 | $40.11 | $84.34 | |
Sentara
| Professional | $34.24 | $40.11 | $84.34 | |
United
| Professional | $27.71 | $41.04 | $67.95 |