| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $360.00 | $360.00 | $360.00 | |
Cigna
| Facility | $750.00 | $750.00 | $750.00 | |
Sentara
| Facility | $7,420.00 | $9,929.00 | $10,945.00 | |
Sentara
| Professional | $7,420.00 | $9,929.00 | $10,945.00 |