| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.50 | $35.50 | $35.50 | |
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Kaiser Permanente
| Professional | $38.09 | $53.77 | $58.10 | |
Medcost
| Facility | $39.26 | $39.26 | $39.26 | |
Sentara
| Facility | $25.25 | $43.36 | $9,929.00 | |
Sentara
| Professional | $25.25 | $43.50 | $9,929.00 | |
United
| Professional | $29.46 | $46.01 | $70.80 |