| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.72 | $1.72 | $1.72 | |
Hometown Health
| Professional | $127.38 | $212.72 | $3,000.00 | |
Hometown Health
| Professional | $127.38 | $127.38 | $191.07 | |
United
| Professional | $2,811.88 | $2,811.88 | $2,811.88 |