| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.72 | $3,991.00 | $8,920.00 | |
Anthem BCBS
| Facility | $3,207.43 | $4,561.59 | $6,353.37 | |
Kaiser Permanente
| Professional | $384.59 | $461.51 | $569.19 | |
Medcost
| Facility | $422.89 | $541.44 | $838.72 | |
Medcost
| Facility | AS | $90.32 | $101.83 | $117.42 |
Sentara
| Facility | $428.67 | $561.55 | $3,658.00 | |
United
| Facility | $1,547.00 | $3,130.00 | $5,226.00 |