| 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 | $294.23 | $385.45 | $554.09 | |
Hometown Health
| Facility | $33,678.80 | $33,678.80 | $33,678.80 | |
United
| Professional | $34.57 | $372.84 | $608.70 |