| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Anthem BCBS
| Professional | $316.99 | $1,158.00 | $3,614.07 | |
Hometown Health
| Professional | $200.00 | $350.00 | $493.00 | |
Hometown Health
| Facility | $1,124.40 | $1,124.40 | $1,124.40 |