| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $35.20 | $1,367.60 | $2,068.76 | |
Hometown Health
| Professional | $26.40 | $1,182.15 | $1,773.23 | |
United
| Facility | $1,303.53 | $1,303.53 | $1,303.53 |