| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.06 | $3,226.00 | $8,294.00 | |
Cigna
| Facility | $263.30 | $526.00 | $925.00 | |
Kaiser Permanente
| Professional | $726.77 | $913.56 | $1,228.63 | |
Medcost
| Facility | $173.21 | $851.65 | $1,566.51 | |
Sentara
| Facility | $169.70 | $261.16 | $378.56 | |
United
| Facility | $85.00 | $503.00 | $2,117.00 |