| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,479.00 | $10,250.00 | $16,117.00 | |
Anthem BCBS
| Professional | $114.92 | $602.38 | $865.92 | |
Hometown Health
| Facility | $49,733.65 | $49,733.65 | $49,733.65 | |
United
| Professional | $113.63 | $155.13 | $398.36 |