| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $871.66 | $1,510.74 | $17,379.29 | |
Anthem BCBS
| Professional | 80 | $139.46 | $241.71 | $2,780.68 |
Anthem BCBS
| Professional | AS | $122.03 | $211.50 | $2,433.10 |
United
| Professional | $15,247.77 | $20,275.78 | $24,416.79 |