| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $727.56 | $1,259.44 | $13,607.72 | |
Anthem BCBS
| Professional | 80 | $116.40 | $201.51 | $2,177.23 |
Anthem BCBS
| Professional | AS | $101.85 | $176.32 | $1,905.08 |
United
| Professional | $11,028.94 | $14,995.89 | $18,080.39 |