| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.99 | $2,561.00 | $8,294.00 | |
Cigna
| Facility | $173.66 | $173.66 | $173.66 | |
Kaiser Permanente
| Professional | $117.65 | $130.03 | $154.80 | |
Medcost
| Facility | $97.40 | $124.01 | $191.12 | |
Sentara
| Facility | $102.58 | $135.34 | $1,098.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |