| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.25 | $2,561.00 | $8,294.00 | |
Anthem BCBS
| Facility | $6,153.00 | $7,363.00 | $9,410.00 | |
Kaiser Permanente
| Professional | $370.30 | $444.36 | $548.04 | |
Medcost
| Facility | $356.59 | $480.39 | $713.44 | |
Sentara
| Facility | $323.14 | $426.63 | $3,512.00 | |
United
| Facility | $4,349.00 | $7,061.00 | $12,739.00 |