| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $23.99 | $36.31 | |
Anthem BCBS
| Professional | $2.00 | $2.00 | $3.02 | |
Medcost
| Facility | $25.12 | $26.30 | $42.66 | |
Sentara
| Facility | $100.00 | $4,073.80 | $4,073.80 | |
Sentara
| Professional | $100.00 | $4,073.80 | $4,073.80 |