| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.61 | $2,774.63 | $8,294.00 | |
Kaiser Permanente
| Professional | $636.74 | $917.00 | $1,130.97 | |
Medcost
| Facility | $208.61 | $883.45 | $1,468.64 | |
Sentara
| Facility | $191.38 | $252.84 | $982.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |