| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $1,348.96 | $8,317.64 | |
Anthem BCBS
| Facility | $6,918.31 | $8,709.64 | $12,022.64 | |
Kaiser Permanente
| Professional | $48.98 | $363.08 | $446.68 | |
Medcost
| Professional | $380.19 | $478.63 | $831.76 | |
Medcost
| Facility | $70.79 | $269.15 | $630.96 | |
Sentara
| Facility | $56.23 | $91.20 | $10,000.00 | |
United
| Facility | $1,122.02 | $2,454.71 | $14,791.08 |