| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.93 | $173.00 | $173.00 | |
Aetna
| Professional | $173.00 | $173.00 | $173.00 | |
Anthem BCBS
| Professional | $203.52 | $203.52 | $250.24 | |
Cigna
| Facility | $263.02 | $263.02 | $263.02 | |
Cigna
| Professional | $192.01 | $192.01 | $263.02 | |
Kaiser Permanente
| Professional | $185.00 | $201.00 | $201.00 | |
Medcost
| Facility | $173.00 | $173.00 | $263.48 | |
Sentara
| Facility | $100.00 | $9,929.00 | $10,945.00 | |
Sentara
| Professional | $100.00 | $9,929.00 | $10,945.00 |