| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Anthem BCBS
| Professional | $1,168.82 | $1,443.46 | $2,070.62 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
Hometown Health
| Facility | $10,219.77 | $10,219.77 | $10,219.77 | |
United
| Professional | $1,070.43 | $1,401.93 | $2,110.08 |