| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $894.53 | $9,118.00 | $15,742.00 | |
Anthem BCBS
| Facility | $12,524.00 | $22,312.00 | $37,718.00 | |
Kaiser Permanente
| Professional | $306.30 | $367.56 | $453.32 | |
Medcost
| Facility | $351.76 | $441.39 | $627.16 | |
Sentara
| Facility | $337.37 | $441.95 | $9,929.00 | |
United
| Facility | $27,644.00 | $54,429.00 | $115,563.00 |