| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.10 | $2,561.00 | $8,294.00 | |
Cigna
| Facility | $245.42 | $245.42 | $245.42 | |
Kaiser Permanente
| Professional | $158.47 | $175.15 | $208.51 | |
Medcost
| Facility | $131.84 | $165.66 | $256.51 | |
Sentara
| Facility | $138.93 | $190.82 | $1,098.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |