| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.93 | $990.36 | $8,294.00 | |
Kaiser Permanente
| Professional | $61.12 | $73.34 | $90.46 | |
Medcost
| Facility | $55.44 | $79.42 | $116.10 | |
Sentara
| Facility | $51.39 | $68.20 | $819.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |