| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Cigna
| Professional | $2,420.94 | $2,900.57 | $3,492.36 | |
Hometown Health
| Professional | $10.56 | $840.37 | $1,280.56 | |
Hometown Health
| Professional | $7.92 | $800.35 | $1,200.53 | |
United
| Professional | $30.00 | $1,810.00 | $5,349.00 |