| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $4,677.35 | $10,964.78 | |
Anthem BCBS
| Facility | $12,882.50 | $22,387.21 | $38,018.94 | |
Kaiser Permanente
| Professional | $398.11 | $478.63 | $588.84 | |
Medcost
| Professional | $1,122.02 | $1,122.02 | $1,122.02 | |
Medcost
| Facility | $467.74 | $676.08 | $1,096.48 | |
Sentara
| Facility | $457.09 | $676.08 | $30,902.95 | |
United
| Facility | $17,378.01 | $33,884.42 | $81,283.05 |