| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,117.68 | $2,135.51 | $5,094.54 | |
Anthem BCBS
| Facility | $6,153.00 | $7,363.00 | $9,410.00 | |
Kaiser Permanente
| Professional | $1,435.74 | $1,722.89 | $2,124.90 | |
Medcost
| Facility | $801.73 | $1,693.14 | $3,949.84 | |
Sentara
| Facility | $657.78 | $871.24 | $6,585.00 |