| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $2,754.23 | $7,244.36 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Kaiser Permanente
| Professional | $223.87 | $269.15 | $331.13 | |
Medcost
| Professional | $79.43 | $346.74 | $512.86 | |
Medcost
| Facility | $58.88 | $158.49 | $398.11 | |
Sentara
| Facility | $50.12 | $69.18 | $1,174.90 | |
United
| Facility | $218.78 | $1,148.15 | $2,398.83 |