| 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 | $14.82 | $899.13 | $1,286.67 |
Opn Subcla Crtd Art Trpos Nck Inc Ulat
| 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 | $14.82 | $899.13 | $1,286.67 |