| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,310.00 | $1,310.00 | $1,545.00 | |
Anthem BCBS
| Professional | $156.13 | $172.40 | $294.57 | |
Hometown Health
| Professional | $63.66 | $63.66 | $200.53 | |
Hometown Health
| Facility | $290.64 | $290.64 | $290.64 | |
United
| Professional | $161.22 | $201.54 | $303.79 |