| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.19 | $251.19 | $346.74 | |
Anthem BCBS
| Professional | $21.38 | $35.48 | $53.70 | |
Sentara
| Facility | $50.12 | $50.12 | $50.12 | |
Sentara
| Professional | $50.12 | $50.12 | $50.12 |