| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.08 | $2,840.00 | $8,294.00 | |
Cigna
| Facility | $424.52 | $424.52 | $424.52 | |
Kaiser Permanente
| Professional | $1,250.00 | $1,500.00 | $1,838.24 | |
Medcost
| Facility | $286.06 | $1,385.67 | $2,401.62 | |
Sentara
| Facility | $241.67 | $327.99 | $805.00 | |
United
| Facility | $296.00 | $1,148.00 | $2,364.00 |