| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $154.50 | $154.50 | $154.50 | |
Kaiser Permanente
| Professional | $159.65 | $179.60 | $179.60 | |
Sentara
| Facility | $100.00 | $1,750.00 | $10,945.00 | |
Sentara
| Professional | $100.00 | $1,750.00 | $10,945.00 | |
United
| Professional | $199.56 | $199.56 | $209.54 |