| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $25.12 | $25.12 | |
Anthem BCBS
| Professional | $5.37 | $5.37 | $6.31 | |
Medcost
| Facility | $25.12 | $30.20 | $46.77 | |
Sentara
| Facility | $64.57 | $100.00 | $100.00 | |
Sentara
| Professional | $64.57 | $100.00 | $100.00 | |
United
| Professional | $3.98 | $3.98 | $3.98 |