| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $5,495.41 | $20,892.96 | |
Anthem BCBS
| Facility | $11,748.98 | $14,791.08 | $15,848.93 | |
Kaiser Permanente
| Professional | $977.24 | $1,202.26 | $3,019.95 | |
Medcost
| Professional | $1,659.59 | $2,041.74 | $2,951.21 | |
Medcost
| Facility | $1,202.26 | $1,778.28 | $2,630.27 | |
Sentara
| Facility | $1,174.90 | $1,698.24 | $10,000.00 | |
United
| Facility | $6,760.83 | $11,748.98 | $23,988.33 |