| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Anthem BCBS
| Professional | $55.69 | $66.95 | $94.24 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
Hometown Health
| Facility | $172.92 | $172.92 | $172.92 | |
United
| Professional | $39.82 | $69.70 | $114.11 |