| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,434.22 | $7,047.61 | $7,947.07 |
Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,434.22 | $7,047.61 | $7,947.07 |