| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $3,630.78 | $22,908.68 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Kaiser Permanente
| Professional | $281.84 | $338.84 | $416.87 | |
Medcost
| Professional | $776.25 | $776.25 | $776.25 | |
Medcost
| Facility | $309.03 | $416.87 | $630.96 | |
Sentara
| Facility | $323.59 | $446.68 | $1,659.59 | |
United
| Facility | $218.78 | $1,202.26 | $2,454.71 |