| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.25 | $3,991.00 | $8,920.00 | |
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Kaiser Permanente
| Professional | $236.42 | $283.70 | $332.56 | |
Medcost
| Facility | $259.70 | $347.44 | $475.27 | |
Sentara
| Facility | $261.29 | $343.79 | $5,122.00 | |
United
| Facility | $6,303.00 | $9,373.00 | $17,192.00 |