| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,819.70 | $3,630.78 | $5,011.87 | |
CDPHP
| Facility | $48.98 | $48.98 | $6,165.95 | |
CDPHP
| Professional | $48.98 | $48.98 | $48.98 | |
United
| Professional | $30.20 | $36.31 | $58.88 |