| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.60 | $253.60 | $253.60 | |
Anthem BCBS
| Professional | $21.26 | $35.50 | $35.50 | |
Sentara
| Facility | $50.00 | $50.00 | $50.00 | |
Sentara
| Professional | $50.00 | $50.00 | $50.00 |