| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.97 | $468.97 | $468.97 | |
Aetna
| Professional | $6,840.00 | $11,983.98 | $23,152.50 | |
Sentara
| Facility | $70.00 | $100.00 | $100.00 | |
Sentara
| Professional | $70.00 | $100.00 | $100.00 |