| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.78 | $4,771.00 | $8,294.00 | |
Cigna
| Facility | $220.67 | $220.67 | $220.67 | |
Kaiser Permanente
| Professional | $213.18 | $239.47 | $285.08 | |
Medcost
| Facility | $129.02 | $210.38 | $361.04 | |
Sentara
| Facility | $137.55 | $201.21 | $1,098.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |