| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.47 | $1,039.76 | $9,324.36 | |
Aetna
| Professional | $137.47 | $137.47 | $529.04 | |
Cigna
| Professional | $165.00 | $165.00 | $165.00 | |
Medcost
| Facility | $137.47 | $145.72 | $232.32 | |
Sentara
| Facility | $100.00 | $925.00 | $1,750.00 | |
Sentara
| Professional | $43.44 | $920.00 | $1,750.00 |