| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.00 | $296.00 | $347.00 | |
Anthem BCBS
| Facility | $191.00 | $230.00 | $389.00 | |
Cigna
| Facility | $180.00 | $234.00 | $355.00 | |
Kaiser Permanente
| Facility | $265.00 | $400.00 | $530.00 | |
Sentara
| Facility | $151.00 | $185.00 | $364.00 |