| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.19 | $43.19 | $46.76 | |
Aetna
| Professional | $35.22 | $43.19 | $46.76 | |
Anthem BCBS
| Professional | $0.02 | $42.56 | $45.74 | |
Cigna
| Facility | $53.31 | $53.31 | $53.31 | |
Cigna
| Professional | $42.56 | $42.56 | $42.56 | |
Kaiser Permanente
| Professional | $35.31 | $48.90 | $65.20 | |
Medcost
| Facility | $33.20 | $43.19 | $65.87 | |
Medcost
| Professional | $62.73 | $79.56 | $92.51 | |
Sentara
| Facility | $40.86 | $56.76 | $77.20 | |
Sentara
| Professional | $40.86 | $56.76 | $77.20 | |
United
| Professional | $35.19 | $55.42 | $90.49 |