| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $76.51 | $138.99 | $352.90 | |
Hometown Health
| Professional | $100.00 | $150.00 | $425.00 | |
Hometown Health
| Facility | $27.07 | $27.07 | $27.07 | |
United
| Professional | $74.70 | $100.24 | $156.66 |