| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Cigna
| Professional | $612.00 | $766.00 | $910.00 | |
Hometown Health
| Professional | $190.00 | $200.00 | $493.00 | |
Hometown Health
| Facility | $256.64 | $256.64 | $256.64 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |