| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Kaiser Permanente
| Professional | $519.04 | $675.65 | $1,894.40 | |
Medcost
| Facility | $506.96 | $673.70 | $961.06 | |
Sentara
| Facility | $568.90 | $692.42 | $1,139.04 |