| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47,863.01 | $102,329.30 | $109,647.82 | |
Anthem BCBS
| Facility | $67,608.30 | $102,329.30 | $144,543.98 | |
Sentara
| Facility | $20,892.96 | $20,892.96 | $20,892.96 | |
United
| Facility | $4,073.80 | $104,712.85 | $158,489.32 |