| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Kaiser Permanente
| Professional | $315.00 | $409.38 | $1,137.23 | |
Medcost
| Facility | $312.35 | $401.51 | $593.04 | |
Sentara
| Facility | $345.66 | $417.70 | $695.22 | |
United
| Facility | $248.90 | $248.90 | $248.90 |