| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.67 | $19.67 | $19.67 | |
Anthem BCBS
| Professional | $9.75 | $9.75 | $20.34 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $14.11 | $14.11 | $14.11 | |
Medcost
| Facility | $19.67 | $19.67 | $32.46 | |
Sentara
| Facility | $100.00 | $100.00 | $4,071.00 | |
Sentara
| Professional | $100.00 | $100.00 | $4,071.00 |