| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Anthem BCBS
| Professional | $756.94 | $910.69 | $1,215.78 | |
Hometown Health
| Facility | $7,077.65 | $7,077.65 | $7,077.65 | |
United
| Professional | $698.25 | $945.04 | $1,270.26 |