| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $843.42 | $1,462.21 | $13,899.65 | |
Anthem BCBS
| Professional | 80 | $134.94 | $233.95 | $2,223.94 |
Anthem BCBS
| Professional | AS | $118.07 | $204.70 | $1,945.95 |
United
| Professional | $10,946.60 | $14,771.03 | $17,870.64 |