| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,355.93 | $2,165.88 | $2,646.28 | |
Anthem BCBS
| Facility | $10,900.00 | $13,875.00 | $15,752.00 | |
Kaiser Permanente
| Professional | $723.19 | $867.83 | $1,070.32 | |
Medcost
| Facility | $827.37 | $1,158.04 | $1,630.02 | |
Sentara
| Facility | $797.88 | $1,076.30 | $3,725.01 |