| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $392.00 | $392.00 | $392.00 | |
Anthem BCBS
| Facility | $620.00 | $787.00 | $922.00 | |
Cigna
| Facility | $460.00 | $460.00 | $478.00 | |
Sentara
| Facility | $19.89 | $4,071.00 | $10,945.00 |