| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $45.00 | $45.00 | |
Aetna
| Professional | $45.00 | $45.00 | $45.00 | |
Anthem BCBS
| Professional | $1,078.66 | $1,078.66 | $1,326.32 | |
Cigna
| Facility | $379.93 | $379.93 | $379.93 | |
Cigna
| Professional | $277.35 | $277.35 | $379.93 | |
Medcost
| Facility | $45.00 | $45.00 | $68.54 | |
Sentara
| Facility | $100.00 | $9,929.00 | $10,945.00 | |
Sentara
| Professional | $100.00 | $9,929.00 | $10,945.00 |