| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,600.27 | $2,210.46 | $3,627.83 | |
Anthem BCBS
| Professional | $333.39 | $333.39 | $642.64 | |
Community Health Options
| Facility | $1,505.00 | $1,505.00 | $1,505.00 | |
United
| Professional | $403.42 | $509.49 | $732.50 |