| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $691.08 | $691.08 | $691.08 | |
Kaiser Permanente
| Professional | $544.87 | $660.77 | $943.38 | |
Medcost
| Facility | $564.54 | $649.16 | $990.91 | |
Sentara
| Facility | $576.74 | $682.29 | $1,073.47 |