| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $2,630.27 | $8,317.64 | |
Cigna
| Facility | $489.78 | $524.81 | $524.81 | |
Kaiser Permanente
| Professional | $363.08 | $436.52 | $741.31 | |
Medcost
| Professional | $1,023.29 | $1,023.29 | $1,023.29 | |
Medcost
| Facility | $154.88 | $380.19 | $933.25 | |
Sentara
| Facility | $144.54 | $208.93 | $870.96 | |
United
| Facility | $109.65 | $812.83 | $2,398.83 |