| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
Anthem BCBS
| Professional | $11.65 | $11.65 | $24.31 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $38.47 | $38.47 | $38.47 | |
Medcost
| Facility | $35.00 | $35.00 | $57.75 | |
Sentara
| Facility | $100.00 | $100.00 | $4,071.00 | |
Sentara
| Professional | $100.00 | $100.00 | $4,071.00 |