| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.63 | $3,633.00 | $9,539.00 | |
Cigna
| Facility | $352.34 | $352.34 | $640.00 | |
Kaiser Permanente
| Professional | $675.55 | $874.24 | $1,033.19 | |
Medcost
| Facility | $234.63 | $668.02 | $1,443.79 | |
Sentara
| Facility | $207.19 | $279.00 | $982.00 | |
United
| Facility | $231.00 | $1,045.00 | $2,364.00 |