| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $14,510.00 | |
Anthem BCBS
| Professional | $1,113.02 | $1,362.24 | $1,883.12 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
Hometown Health
| Facility | $7,895.11 | $7,895.11 | $7,895.11 | |
United
| Professional | $865.00 | $1,136.10 | $1,651.41 |