| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $901.00 | $1,161.00 | $1,251.00 | |
Cigna
| Facility | $350.00 | $350.00 | $350.00 | |
Kaiser Permanente
| Facility | $379.76 | $379.76 | $379.76 | |
Sentara
| Facility | $906.56 | $906.56 | $906.56 |