| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Anthem BCBS
| Professional | $9.38 | $9.38 | $19.57 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $28.33 | $28.33 | $28.33 | |
Medcost
| Facility | $20.00 | $20.00 | $33.00 | |
Sentara
| Facility | $100.00 | $100.00 | $4,071.00 | |
Sentara
| Professional | $100.00 | $100.00 | $4,071.00 |