| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15,833.00 | $15,833.00 | $17,584.00 |
Ambulatory Surgical Care-Other Ambulatory Surgical Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15,833.00 | $15,833.00 | $17,584.00 |