| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,293.04 | $7,423.00 | $10,180.00 |
Ambulatory Surgical Care - Other Ambulatory Surgical Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,293.04 | $7,423.00 | $10,180.00 |