| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $45.32 | $45.32 | |
Aetna
| Professional | $25.58 | $45.32 | $52.53 | |
Anthem BCBS
| Facility | $58.96 | $58.96 | $62.62 | |
Anthem BCBS
| Professional | $53.80 | $53.80 | $67.25 | |
CareFirst
| Professional | $50.22 | $57.73 | $57.73 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $44.34 | $55.62 | |
Kaiser Permanente
| Professional | $36.21 | $51.73 | $82.84 | |
Medcost
| Facility | $18.91 | $50.21 | $85.49 | |
Medcost
| Professional | $71.20 | $85.00 | $113.30 | |
Sentara
| Facility | $48.20 | $71.73 | $93.25 | |
Sentara
| Professional | $48.20 | $71.73 | $93.25 | |
United
| Professional | $39.40 | $45.73 | $71.73 |