| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.37 | $3,633.00 | $8,294.00 | |
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Kaiser Permanente
| Professional | $404.05 | $484.86 | $597.99 | |
Medcost
| Facility | $188.25 | $438.43 | $870.67 | |
Sentara
| Facility | $163.47 | $223.85 | $3,512.00 | |
United
| Facility | $4,349.00 | $7,061.00 | $12,739.00 |