| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $868.00 | $868.00 | $868.00 | |
Cigna
| Facility | $4,733.00 | $5,916.00 | $14,000.00 | |
Sentara
| Facility | $4,908.00 | $4,908.00 | $4,908.00 | |
United
| Facility | $16,769.00 | $16,962.00 | $18,910.00 |