| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.71 | $959.34 | $11,853.50 | |
Kaiser Permanente
| Professional | $3,225.57 | $3,889.01 | $4,861.26 | |
Medcost
| Facility | $324.58 | $3,500.39 | $6,660.41 | |
Sentara
| Facility | $273.86 | $379.42 | $9,929.00 |