| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.24 | $4,032.00 | $21,562.00 | |
Anthem BCBS
| Facility | $26,917.00 | $35,151.00 | $39,057.00 | |
Kaiser Permanente
| Professional | $1,160.06 | $1,392.07 | $1,739.39 | |
Medcost
| Facility | $252.54 | $1,160.06 | $2,962.64 | |
Sentara
| Facility | $218.08 | $287.87 | $10,945.00 | |
United
| Facility | $8,367.00 | $13,296.00 | $26,537.00 |