| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.45 | $3,226.00 | $8,294.00 | |
Kaiser Permanente
| Professional | $445.14 | $534.16 | $667.16 | |
Medcost
| Facility | $69.34 | $482.41 | $976.82 | |
Sentara
| Facility | $65.98 | $87.37 | $976.83 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |