| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,467.37 | $6,025.60 | $6,025.60 | |
Cigna
| Professional | $3,090.30 | $3,715.35 | $4,466.84 | |
Hometown Health
| Professional | $16.98 | $26.30 | $1,412.54 | |
Hometown Health
| Professional | $14.45 | $14.45 | $14.45 |