| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.59 | $4,796.00 | $9,539.00 | |
Anthem BCBS
| Facility | $37.96 | $47.88 | $62.64 | |
Cigna
| Facility | $15.32 | $15.32 | $15.32 | |
Kaiser Permanente
| Professional | $11.82 | $14.61 | $18.04 | |
Medcost
| Facility | $11.34 | $16.51 | $26.35 | |
Sentara
| Facility | $12.92 | $17.57 | $29.19 |