| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.57 | $2,561.00 | $8,920.00 | |
Kaiser Permanente
| Professional | $70.70 | $84.85 | $104.65 | |
Medcost
| Facility | $80.80 | $106.32 | $157.30 | |
Sentara
| Facility | $79.50 | $103.68 | $805.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |