| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,912.51 | $14,454.40 | $20,892.96 | |
Hometown Health
| Professional | $19.50 | $1,548.82 | $2,187.76 | |
Hometown Health
| Professional | $16.98 | $16.98 | $1,862.09 | |
United
| Professional | $1,258.93 | $1,778.28 | $2,041.74 |