| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $252.64 | $252.64 | $252.64 | |
Anthem BCBS
| Professional | $31.94 | $31.94 | $42.52 | |
Medcost
| Facility | $252.64 | $252.64 | $384.77 | |
Sentara
| Facility | $100.00 | $100.00 | $10,945.00 | |
Sentara
| Professional | $100.00 | $100.00 | $10,945.00 |