| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $18.67 | $1,098.53 | $2,431.19 | |
Hometown Health
| Facility | $5,618.32 | $5,618.32 | $5,618.32 | |
United
| Facility | $3,390.00 | $3,390.00 | $3,390.00 |