| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Anthem BCBS
| Professional | $118.63 | $142.72 | $206.95 | |
Hometown Health
| Facility | $3,800.73 | $3,800.73 | $3,800.73 | |
United
| Professional | $109.55 | $142.35 | $237.88 |