| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.77 | $4,390.00 | $10,767.00 | |
Anthem BCBS
| Facility | $10,166.54 | $16,742.20 | $23,318.49 | |
Kaiser Permanente
| Professional | $231.53 | $277.83 | $337.89 | |
Medcost
| Facility | $248.80 | $314.73 | $445.62 | |
Sentara
| Facility | $250.28 | $319.55 | $1,621.00 | |
United
| Facility | $1,621.00 | $3,295.00 | $10,340.00 |