| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.07 | $32.02 | $32.02 | |
Aetna
| Professional | $18.07 | $28.18 | $32.02 | |
Anthem BCBS
| Facility | $41.67 | $41.67 | $44.25 | |
Anthem BCBS
| Professional | $36.19 | $36.19 | $45.24 | |
CareFirst
| Professional | $36.15 | $36.15 | $36.15 | |
Cigna
| Facility | $38.15 | $38.15 | $42.22 | |
Cigna
| Professional | $32.43 | $32.43 | $42.22 | |
Kaiser Permanente
| Professional | $25.59 | $36.56 | $58.54 | |
Medcost
| Facility | $19.10 | $36.18 | $66.70 | |
Medcost
| Professional | $46.83 | $60.00 | $80.06 | |
Sentara
| Facility | $32.45 | $46.24 | $68.66 | |
Sentara
| Professional | $32.45 | $46.24 | $68.66 | |
United
| Facility | $64.78 | $64.78 | $77.73 | |
United
| Professional | $26.86 | $32.31 | $48.67 |