| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,120.10 | $5,120.10 | $5,120.10 | |
Anthem BCBS
| Professional | $487.50 | $487.50 | $662.65 | |
Kaiser Permanente
| Professional | $4,625.00 | $4,639.00 | $4,639.00 | |
Sentara
| Facility | $894.00 | $2,484.00 | $10,945.00 | |
Sentara
| Professional | $894.00 | $2,484.00 | $10,945.00 |