| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $976.18 | $5,087.00 | $58,544.00 | |
Anthem BCBS
| Facility | $123,526.00 | $152,581.00 | $170,101.00 | |
Kaiser Permanente
| Professional | $517.20 | $620.64 | $765.46 | |
Medcost
| Facility | $597.17 | $748.51 | $1,059.21 | |
Sentara
| Facility | $583.83 | $777.24 | $21,219.00 | |
United
| Facility | $27,644.00 | $69,183.00 | $125,655.00 |