| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,434.00 | $1,434.00 | $1,434.00 | |
Sentara
| Facility | $516.50 | $1,183.51 | $10,945.00 | |
Sentara
| Professional | $516.50 | $1,183.51 | $10,945.00 | |
United
| Professional | $704.64 | $1,059.21 | $1,667.26 |