| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,088.00 | $6,151.00 | $10,920.00 | |
Cigna
| Professional | $3,055.46 | $3,660.78 | $4,407.68 | |
Hometown Health
| Professional | $11.92 | $1,012.02 | $1,598.99 | |
Hometown Health
| Professional | $8.94 | $1,012.02 | $1,518.03 |