| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.29 | $2,561.00 | $8,294.00 | |
Cigna
| Facility | $235.08 | $235.08 | $235.08 | |
Kaiser Permanente
| Professional | $158.44 | $175.12 | $208.48 | |
Medcost
| Facility | $133.94 | $179.08 | $259.06 | |
Sentara
| Facility | $141.88 | $191.26 | $1,098.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |