| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.21 | $3,226.00 | $8,294.00 | |
Anthem BCBS
| Facility | $1,735.00 | $2,390.00 | $2,954.00 | |
Cigna
| Facility | $153.55 | $153.55 | $640.00 | |
Kaiser Permanente
| Professional | $130.10 | $164.25 | $192.55 | |
Medcost
| Facility | $102.21 | $159.97 | $240.49 | |
Sentara
| Facility | $90.09 | $123.74 | $780.00 | |
United
| Facility | $921.00 | $1,890.00 | $3,765.00 |