| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $2,630.27 | $8,317.64 | |
Cigna
| Facility | $489.78 | $524.81 | $524.81 | |
Kaiser Permanente
| Professional | $776.25 | $933.25 | $1,584.89 | |
Medcost
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Medcost
| Facility | $165.96 | $776.25 | $1,513.56 | |
Sentara
| Facility | $154.88 | $257.04 | $870.96 | |
United
| Facility | $109.65 | $812.83 | $2,398.83 |