| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Hometown Health
| Professional | $1.75 | $2.00 | $2.92 | |
Hometown Health
| Professional | $1.50 | $1.50 | $1.50 | |
United
| Professional | $33.06 | $38.76 | $87.38 |