| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.83 | $6,827.70 | $23,601.00 | |
Cigna
| Facility | $274.48 | $274.48 | $640.00 | |
Kaiser Permanente
| Professional | $226.33 | $290.39 | $343.20 | |
Medcost
| Facility | $246.07 | $335.66 | $515.00 | |
Sentara
| Facility | $237.43 | $328.01 | $988.00 | |
United
| Facility | $206.00 | $819.00 | $2,375.00 |