| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,370.32 | $9,332.54 | $10,964.78 | |
Cigna
| Professional | $3,090.30 | $3,630.78 | $4,466.84 | |
Hometown Health
| Professional | $12.88 | $977.24 | $1,513.56 | |
Hometown Health
| Professional | $10.96 | $10.96 | $1,513.56 | |
United
| Professional | $707.95 | $1,023.29 | $1,318.26 |