| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,838.00 | $12,920.00 | $26,079.00 | |
Anthem BCBS
| Facility | $950.00 | $2,546.00 | $5,557.00 | |
Kaiser Permanente
| Facility | $1,405.00 | $7,775.00 | $400,000.00 | |
Sentara
| Facility | $2,766.00 | $2,766.00 | $2,766.00 | |
United
| Facility | $540.00 | $1,175.00 | $6,990.00 |