| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $594.32 | $594.32 | $594.32 | |
Kaiser Permanente
| Professional | $471.89 | $571.83 | $782.16 | |
Medcost
| Facility | $476.51 | $551.76 | $831.04 | |
Sentara
| Facility | $477.80 | $576.23 | $924.74 |