| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,526.00 | $9,098.00 | $15,073.00 | |
Hometown Health
| Professional | $26.00 | $1,554.13 | $2,233.07 | |
Hometown Health
| Professional | $19.50 | $1,276.04 | $1,914.06 | |
United
| Professional | $1,276.04 | $1,775.88 | $2,359.50 |