| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,735.00 | $2,390.00 | $2,954.00 | |
Anthem BCBS
| Professional | $92.92 | $92.92 | $92.92 | |
Medcost
| Professional | $109.00 | $125.00 | $173.00 | |
United
| Professional | $34.71 | $61.54 | $112.96 |