| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $999.32 | $5,636.00 | $13,209.00 | |
Anthem BCBS
| Facility | $10,900.00 | $13,875.00 | $15,752.00 | |
Kaiser Permanente
| Professional | $843.21 | $1,011.85 | $1,247.95 | |
Medcost
| Facility | $897.86 | $1,225.00 | $1,688.85 | |
Sentara
| Facility | $911.42 | $1,205.70 | $9,929.00 | |
United
| Facility | $12,301.00 | $20,974.00 | $40,876.00 |