| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.59 | $3,226.00 | $8,294.00 | |
Anthem BCBS
| Facility | $1,735.00 | $2,390.00 | $2,954.00 | |
Cigna
| Facility | $146.47 | $146.47 | $640.00 | |
Kaiser Permanente
| Professional | $130.03 | $164.78 | $192.44 | |
Medcost
| Facility | $100.58 | $158.38 | $243.22 | |
Sentara
| Facility | $88.39 | $120.95 | $780.00 | |
United
| Facility | $921.00 | $1,890.00 | $3,765.00 |