| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.59 | $56.18 | $56.18 | |
Aetna
| Professional | $44.07 | $50.59 | $56.18 | |
Cigna
| Facility | $65.03 | $65.03 | $65.03 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Kaiser Permanente
| Professional | $50.12 | $62.74 | $85.43 | |
Medcost
| Facility | $45.86 | $56.46 | $93.48 | |
Medcost
| Professional | $70.72 | $87.60 | $128.52 | |
Sentara
| Facility | $52.58 | $61.46 | $121.75 | |
Sentara
| Professional | $52.58 | $61.46 | $127.95 | |
United
| Professional | $42.71 | $63.08 | $101.22 |