| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.24 | $4,447.45 | $11,555.00 | |
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Cigna
| Facility | $619.72 | $619.72 | $640.00 | |
Cigna
| Facility | AS | $61.52 | $61.52 | $61.52 |
Kaiser Permanente
| Professional | $524.07 | $671.64 | $793.75 | |
Medcost
| Facility | $571.45 | $750.68 | $1,150.58 | |
Medcost
| Facility | 80 | $139.87 | $192.47 | $295.08 |
Medcost
| Facility | AS | $97.91 | $134.72 | $206.56 |
Sentara
| Facility | $542.66 | $727.76 | $2,510.52 | |
United
| Facility | $5,121.00 | $9,270.00 | $17,192.00 |