| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.39 | $4,511.00 | $9,347.59 | |
Cigna
| Facility | $304.10 | $304.10 | $776.00 | |
Kaiser Permanente
| Professional | $252.92 | $323.74 | $377.03 | |
Medcost
| Facility | $276.17 | $365.46 | $552.50 | |
Sentara
| Facility | $263.95 | $358.16 | $819.00 | |
United
| Facility | $231.00 | $1,045.00 | $2,364.00 |