| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $901.00 | $1,161.00 | $1,251.00 | |
Kaiser Permanente
| Facility | $162.75 | $162.75 | $162.75 | |
Sentara
| Facility | $388.82 | $388.82 | $388.82 |
Capd / Composite Or Other Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $901.00 | $1,161.00 | $1,251.00 | |
Kaiser Permanente
| Facility | $162.75 | $162.75 | $162.75 | |
Sentara
| Facility | $388.82 | $388.82 | $388.82 |