| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.94 | $73.94 | $97.00 | |
Aetna
| Professional | $73.94 | $80.00 | $97.00 | |
Anthem BCBS
| Professional | $37.70 | $37.70 | $46.35 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $69.06 | $69.06 | $94.60 | |
Kaiser Permanente
| Professional | $144.00 | $156.00 | $156.00 | |
Medcost
| Facility | $73.94 | $85.03 | $112.61 | |
Sentara
| Facility | $100.00 | $100.00 | $100.00 | |
Sentara
| Professional | $100.00 | $100.00 | $100.00 |