| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,413.10 | $12,022.64 | $14,454.40 | |
Hometown Health
| Professional | $25.70 | $1,513.56 | $2,754.23 | |
Hometown Health
| Professional | $22.39 | $22.39 | $2,630.27 | |
United
| Professional | $1,230.27 | $1,737.80 | $2,454.71 |