| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $156.41 | $156.41 | $156.41 | |
Kaiser Permanente
| Professional | $127.64 | $150.16 | $180.19 | |
Medcost
| Facility | $128.00 | $162.53 | $232.43 | |
Sentara
| Facility | $128.90 | $155.97 | $206.24 |