| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $708.00 | $790.00 | $1,403.00 | |
Sentara
| Facility | $145.52 | $145.52 | $145.52 |
Other Therapeutic Services - Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $708.00 | $790.00 | $1,403.00 | |
Sentara
| Facility | $145.52 | $145.52 | $145.52 |