| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,651.58 | $72,443.60 | $77,624.71 | |
Anthem BCBS
| Facility | $8,317.64 | $72,443.60 | $87,096.36 | |
Sentara
| Facility | $23,442.29 | $48,977.88 | $77,624.71 | |
United
| Facility | $4,073.80 | $69,183.10 | $104,712.85 |