| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.58 | $1,384.56 | $8,294.00 | |
Anthem BCBS
| Facility | $1,735.00 | $2,390.00 | $2,954.00 | |
Cigna
| Facility | $161.57 | $511.22 | $664.58 | |
Kaiser Permanente
| Professional | $447.57 | $537.08 | $717.00 | |
Medcost
| Facility | $108.40 | $447.57 | $776.32 | |
Sentara
| Facility | $101.24 | $131.79 | $232.09 | |
United
| Facility | $490.00 | $2,521.00 | $5,226.00 |