| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.00 | $701.00 | $820.00 | |
Anthem BCBS
| Facility | $395.00 | $500.00 | $668.00 | |
Kaiser Permanente
| Facility | $434.00 | $763.44 | $1,011.00 | |
Sentara
| Facility | $22.10 | $535.00 | $9,929.00 |