| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $4,570.88 | $4,570.88 | |
Kaiser Permanente
| Facility | $2,137.96 | $398,107.17 | $398,107.17 | |
Sentara
| Facility | $19.95 | $10,000.00 | $10,964.78 | |
United
| Facility | $933.25 | $4,677.35 | $8,317.64 |