| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Kaiser Permanente
| Professional | $371.16 | $481.56 | $1,335.10 | |
Medcost
| Facility | $366.07 | $483.85 | $693.82 | |
Sentara
| Facility | $407.14 | $496.90 | $801.39 | |
United
| Facility | $293.32 | $293.32 | $293.32 |